OrganizationActive
Dentrust, P.C.
NPI 1609541945 · General Practice Dentistry · Fort Gordon, GA
Dentrust, P.C. is a General Practice Dentistry organization in Fort Gordon, GA (NPI 1609541945).
Provider details
- NPI number
- 1609541945
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Dentrust PC
- Organization subpart
- Yes
- Authorized official
- Amanda Clark, Director of Credentialing(267) 927-5000
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
201 3rd Ave Bldg 38200
Fort Gordon, GA 30905-5904
Phone: (267) 927-5000
Approximate (ZIP-level) locationGet directions
Mailing address
1221 Vinewood Dr
Seffner, FL 33584-4829
Other names (DBA / former)
- Doing business as
- Docs Dental Ft. Gordon
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Frequently asked questions
- What is Dentrust, P.C.'s NPI number?
- Dentrust, P.C.'s National Provider Identifier (NPI) is 1609541945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dentrust, P.C.?
- Dentrust, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dentrust, P.C. located?
- Dentrust, P.C.'s practice location on file with NPPES is 201 3rd Ave Bldg 38200, Fort Gordon, GA 30905-5904.
- What is Dentrust, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Dentrust, P.C. is (267) 927-5000.
- Who is the authorized official for Dentrust, P.C.?
- The authorized official listed on Dentrust, P.C.'s NPPES record is Amanda Clark, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dentrust, P.C.'s NPI active?
- Yes — Dentrust, P.C.'s NPI (1609541945) is active in the NPPES registry as of the last update on 2021-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.