Dental One Associates Duluth

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL ONE ASSOCIATES DULUTH

Practice address

1950 Pleasant Hill Rd
B
Duluth, GA 30096-4626

Phone

(770) 418-1550

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By 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

Mike Cole

Title

Insurance Director

Phone

(727) 726-1611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1043406317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 PLEASANT HILL RD",
            "address_2": "B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 PLEASANT HILL RD",
            "address_2": "B",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964626",
            "telephone_number": "770-418-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ONE ASSOCIATES DULUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Katrina Deloach
• Elizabeth Demander, DO
• Inna Demina
• Denhavens PCH, Inc.
• Dental Home Atlanta (Dental Home @ Gwinnett Place)
• Dentfirst PC
• Dentfirst PC
• Dependable Home Care LLC
• Dependable Home Care LLC
• Dermatology Center of Atlanta

• Dentist in Duluth, GA
• Providers in Duluth, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.