Dentrust, P.C.
Dentrust, P.C. is a healthcare organization registered as General Practice Dentistry in Fort Gordon, GA, holding Type 2 (organization) NPI 1609541945 since 2021. The authorized official on file is Amanda Clark, Director of Credentialing.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1609541945 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dentrust, P.C. |
| Parent organization | Dentrust PC |
| Practice address | 201 3RD AVE BLDG 38200, Fort Gordon, GA, 30905 |
| Phone | 2679275000 |
| Enumeration date | 2021-08-10 |
| Last updated in NPPES | 2021-08-10 |
Authorized official
| Name | Amanda Clark |
|---|---|
| Title | Director of Credentialing |
| Phone | 2679275000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN014353 | Other | GA | DR.CAPLINS GA LIC |
Copy-ready billing details
Provider: Dentrust, P.C. NPI: 1609541945 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 201 3RD AVE BLDG 38200, Fort Gordon, GA, 30905
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376333872 | Justin Mortensen | Individual | Student in an Organized Health Care Education/Training Program | Fort Eisenhower, GA |
Verify this record
Cross-check NPI 1609541945 against the authoritative CMS record: view Dentrust, P.C. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Dentrust, P.C.?
What is the NPI number for Dentrust, P.C.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-08-10.