OrganizationActive
Allen M. Vickers, DMD
NPI 1629811716 · Dental Clinic/Center · Tifton, GA
Provider details
- NPI number
- 1629811716
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nettie Hatcher, Director of Operations(229) 848-2685
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
315 14th St E
Tifton, GA 31794-4018
Phone: (229) 382-0803
Street-level locationGet directions
Mailing address
315 14th St E
Tifton, GA 31794-4018
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.