Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Azalea City Family Dentistry

Organization General Practice Dentistry · NPI 1295978047

Azalea City Family Dentistry is a General Practice Dentistry in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009

Practice location Address checks out

414 Pendleton Pl
Valdosta, GA 31602-2603
Phone: (229) 244-3700
Fax: (229) 247-0373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN007995 (GA)

Record details

NPI number1295978047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Broadfoot — Ceo · (229) 244-3700
NPI enumeratedApril 9, 2009
Last updated in NPPESApril 9, 2009
Mailing address414 Pendleton Pl, Valdosta, GA 31602-2603

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