{"npi":"1417108366","type":"NPI-2","status":"active","name":{"display":"Bennett & Maxwell Family Dentistry","other":[],"organization_name":"BENNETT & MAXWELL FAMILY DENTISTRY","authorised_official":"Douglas Maxwell"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":false,"state":"GA","license":"11534"},{"code":"122300000X","description":"Dentist","primary":true,"state":"GA","license":"11562"}]},"addresses":[{"purpose":"LOCATION","street_1":"2415 ANDOVER DR","city":"VALDOSTA","state":"GA","postal_code":"316021280","country_code":"US","phone":"2296711900","fax":"2296711999"},{"purpose":"MAILING","street_1":"2415 ANDOVER DR","city":"VALDOSTA","state":"GA","postal_code":"316021280","country_code":"US","phone":"2296711900","fax":"2296711999"}],"license":{"state":"GA","number":"11562"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000961276A","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"000963256A","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-10-08","last_updated":"2008-10-08","_meta":{"source":"NPPES","snapshot_date":"2008-10-08","doc_url":"https://findmynpi.com/api"}}