NPIMap

Organization Active NPI

Norcross Dental Center

  • Dentist
  • Norcross, GA
National Provider Identifier
1023283181
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013031 Issued in GA
Legal business name
NORCROSS DENTAL CENTER
Practice address
5430 Jimmy Carter Blvd Ste 125
Norcross, GA 30093-1526
Phone
(770) 441-7900
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Thien Minh Le, DMDNPI 1194858407
Title
Owner
Phone
(770) 411-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN013031 GA Primary

Addresses

Primary practice location

5430 Jimmy Carter Blvd Ste 125
Norcross, GA 30093-1526

Mailing address

5430 Jimmy Carter Blvd Ste 125
Norcross, GA 30093-1526

National Provider Directory

National Provider Directory

Locations

5430 Jimmy Carter Blvd
Ste 125
Norcross, GA 30093
Phone (770) 441-7900

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1023283181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 JIMMY CARTER BLVD STE 125",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 JIMMY CARTER BLVD STE 125",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931526",
            "telephone_number": "770-441-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCROSS DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THIEN",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-411-7900",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.