Active NPI
Damian Sommerville, DDS
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1003291329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN014899
- Legal business name
- DAMIAN SOMMERVILLE, DDS
- Practice address
- 1951 Canton Rd
Ste 310
Marietta, GA 30066-6327 - Phone
- (770) 423-0324
- NPI assigned
- Jul 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Damian L Sommerville, DDS
- Title
- Owner
- Phone
- (770) 423-0324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN014899 | GA | Primary |
Addresses
Primary practice location
1951 Canton Rd
Ste 310
Marietta, GA 30066-6327
Mailing address
1951 Canton Rd
Ste 310
Marietta, GA 30066-6327
Phone (770) 423-0324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003160400A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1951 Canton Rd
Ste 310
Marietta, GA 30066
Phone (770) 423-0324
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Marietta, GA
- NPI 1184760522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459209600000",
"number": "1003291329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 CANTON RD",
"address_2": "STE 310",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666327",
"telephone_number": "770-423-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 CANTON RD",
"address_2": "STE 310",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666327",
"telephone_number": "770-423-0324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAMIAN SOMMERVILLE, DDS",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2016-03-29",
"status": "A",
"authorized_official_last_name": "SOMMERVILLE",
"authorized_official_first_name": "DAMIAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-423-0324",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003160400A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.