Organization Active NPI

Alfaro Dental Care, P.C.

  • General Practice Dentistry
  • Smyrna, GA
National Provider Identifier
1003978107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012155 Issued in GA
Legal business name
ALFARO DENTAL CARE, P.C.
Practice address
2350 Belmont Cir SE
Smyrna, GA 30080-1568
Phone
(678) 842-9912
Fax
(678) 842-9913
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Waleska D Alfaro, DMD
Title
President
Phone
(678) 842-9912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN012155 GA Primary

Addresses

Primary practice location

2350 Belmont Cir SE
Smyrna, GA 30080-1568

Mailing address

2350 Belmont Cir SE
Smyrna, GA 30080-1568
Phone (678) 842-9912

Other identifiers 1

IdentifierTypeStateIssuer
107870OtherGADORAL LOCATION #

Other names 1

  • Waleska Alfaro DMD Other name

National Provider Directory

National Provider Directory

Locations

2350 Belmont Cir SE
Smyrna, GA 30080
Phone (404) 325-0202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003978107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 BELMONT CIR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801568",
            "telephone_number": "678-842-9912",
            "fax_number": "678-842-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BELMONT CIR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801568",
            "telephone_number": "678-842-9912",
            "fax_number": "678-842-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFARO DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "WALESKA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-842-9912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL LOCATION #",
            "identifier": "107870",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waleska Alfaro DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.