OrganizationActive
Northside Family Dentistry
NPI 1417106873 · Dentist · Macon, GA
Northside Family Dentistry is a Dentist organization in Macon, GA (NPI 1417106873).
Provider details
- NPI number
- 1417106873
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Clinton Watson, General Dentistry(478) 475-1976
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3298 Northside Dr
Macon, GA 31210-2553
Phone: (478) 475-1976
Fax: (478) 475-1946
Street-level locationGet directions
Mailing address
3298 Northside Dr
Macon, GA 31210-2553
Registry dates
- Enumerated
- 2008-09-10
- Last updated
- 2008-09-10
Frequently asked questions
- What is Northside Family Dentistry's NPI number?
- Northside Family Dentistry's National Provider Identifier (NPI) is 1417106873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Family Dentistry?
- Northside Family Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Northside Family Dentistry located?
- Northside Family Dentistry's practice location on file with NPPES is 3298 Northside Dr, Macon, GA 31210-2553.
- What is Northside Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Northside Family Dentistry is (478) 475-1976.
- Who is the authorized official for Northside Family Dentistry?
- The authorized official listed on Northside Family Dentistry's NPPES record is Clinton Watson, General Dentistry. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Family Dentistry's NPI active?
- Yes — Northside Family Dentistry's NPI (1417106873) is active in the NPPES registry as of the last update on 2008-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.