JLM Dental Studio of East Point

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JLM DENTAL STUDIO OF EAST POINT

Practice address

1784 Washington Rd
East Point, GA 30344-4148

Phone

(404) 766-8559

Fax

(404) 766-7742

NPI assigned

Mar 20, 2023

Last updated

Dec 19, 2023By 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

Dr. Jarrett Manning, DDS, MPHNPI 1326267576

Title

Owner, Dentist

Phone

(770) 433-1515

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Jarrett Manning, D.D.S., M.P.H.

  • General Practice Dentistry
  • Smyrna, GA
  • NPI 1326267576
  NPD Authorized official
• Delores Hubbard, D.D.S

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1942381801
  NPD (past)

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1053013631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 WASHINGTON RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444148",
            "telephone_number": "404-766-8559",
            "fax_number": "404-766-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 WASHINGTON RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444148",
            "telephone_number": "404-766-8559",
            "fax_number": "404-766-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLM DENTAL STUDIO OF EAST POINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "770-433-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jencare Neighborhood Medical Center East Point
• Jonas A Jenkins, MA, BCBA
• Catonseia Jennings
• Yolanda Kay Jerkins, LPC
• Vickie M Jester, LCSW
• Malcolm D Joel, MD
• Dennis R Johnson
• Kevin Mark Johnson
• Lindsey Morgan Johnson, RPH
• Mark Andrew Johnson, M.D.

• General Practice Dentistry in East Point, GA
• Providers in East Point, 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 Dec 19, 2023; 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.