Greenlea Dental Center PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

GA10999 Issued in GA

Legal business name

GREENLEA DENTAL CENTER PC

Practice address

6740 Shannon Pkwy Ste 2
Union City, GA 30291-2058

Phone

(770) 306-2996

Fax

(770) 306-0004

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Judy Taylor, DDS

Title

Dentist

Phone

(770) 306-2996

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Judy Greenlea - Taylor, DDS

  • General Practice Dentistry
  • Union City, GA
  • NPI 1003869736
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013132372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 SHANNON PKWY STE 2",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912058",
            "telephone_number": "770-306-2996",
            "fax_number": "770-306-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 SHANNON PKWY STE 2",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912058",
            "telephone_number": "770-306-2996",
            "fax_number": "770-306-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEA DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-306-2996",
        "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": "GA10999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00521298A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• God's Child Personal Care Home LLC
• Shayanna Nicole Golden, MSN, APRN, NP-C
• Richard Damien Grant, D.D.S.
• Greater Atlanta OBGYN Associates
• Judy Greenlea - Taylor, DDS
• Guest House 1
• Vanessa Gyebi
• Lakiesha Hampton Mitchell, LCSW
• Harmony Haven Hospice and Palliative Care
• Vicki Harps, R.N. B.S.N

• General Practice Dentistry in Union City, GA
• Providers in Union City, GA by specialty
• General Practice Dentistry in Georgia

• 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.