Allred Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN014960 Issued in GA

Legal business name

ALLRED FAMILY DENTISTRY

Practice address

743 S 8TH St
Griffin, GA 30224-4818

Phone

(770) 228-6101

NPI assigned

Jun 9, 2015

Last updated

Jun 11, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marc Brandon Allred, DMDNPI 1063732691

Title

Part Owner

Phone

(770) 946-3576

Specialties & licenses 1

Addresses

Tax ID family

Allred Dental Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Allred Dental Group LLC

  dba Allred Family Dentistry

  • Health Maintenance Organization
  • Griffin, GA
  • NPI 1396882783
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Brandon Allred, DMD

  • Dentist
  • Griffin, GA
  • NPI 1063732691
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1003296633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 SOUTH 8TH STREET",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30224",
            "telephone_number": "770-228-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244818",
            "telephone_number": "770-228-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLRED FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "770-946-3576",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN014960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Albritton, CNA
• Gary Alexander, N.P.
• Lenora Allen, M.D.
• Allred Dental Group LLC (Allred Family Dentistry)
• Allred Dentistry Griffin (Allred Dentistry)
• Marc Brandon Allred, DMD
• Robert Benjamin Allred, DMD, M.S.
• Fabian Andres Altamirano Donoso, M.D.
• Amedisys Northwest, L.L.C. (Amedisys Home Health of Griffin)
• Matthew A Amin, MD

• Dental Clinic/Center in Griffin, GA
• Providers in Griffin, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.