OrganizationActive
Port City Family Dental Associates
NPI 1417112533 · Dentist · Bainbridge, GA
Port City Family Dental Associates is a Dentist organization in Bainbridge, GA (NPI 1417112533).
Provider details
- NPI number
- 1417112533
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Suzi Rush-Kraft, Office Manager(229) 246-5081
- License
- 9222 (GA)
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
709 E Shotwell St
Bainbridge, GA 39819-4063
Phone: (229) 246-5081
Fax: (229) 246-5011
Street-level locationGet directions
Mailing address
Post Office Box 1307
Bainbridge, GA 39818
Registry dates
- Enumerated
- 2008-07-29
- Last updated
- 2008-07-29
Frequently asked questions
- What is Port City Family Dental Associates's NPI number?
- Port City Family Dental Associates's National Provider Identifier (NPI) is 1417112533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port City Family Dental Associates?
- Port City Family Dental Associates is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Port City Family Dental Associates located?
- Port City Family Dental Associates's practice location on file with NPPES is 709 E Shotwell St, Bainbridge, GA 39819-4063.
- What is Port City Family Dental Associates's phone number?
- The practice phone number listed in the NPPES registry for Port City Family Dental Associates is (229) 246-5081.
- Who is the authorized official for Port City Family Dental Associates?
- The authorized official listed on Port City Family Dental Associates's NPPES record is Suzi Rush-Kraft, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port City Family Dental Associates's NPI active?
- Yes — Port City Family Dental Associates's NPI (1417112533) is active in the NPPES registry as of the last update on 2008-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.