Organization Active NPI

Buford Dentistry

  • Dentist
  • Buford, GA
National Provider Identifier
1053457622
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10445 Issued in GA
Legal business name
BUFORD DENTISTRY
Practice address
1879 Buford Hwy Ste 5
Buford, GA 30518-3628
Phone
(770) 945-7186
Fax
(770) 945-1155
NPI assigned
Jan 30, 2007
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Jama Denise Evans, D.M.D
Title
Owner
Phone
(770) 945-7186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10445 GA Primary

Addresses

Primary practice location

1879 Buford Hwy Ste 5
Buford, GA 30518-3628

Mailing address

1879 Buford Hwy Ste 5
Buford, GA 30518-3628
Phone (770) 945-7186

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1053457622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 BUFORD HWY STE 5",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183628",
            "telephone_number": "770-945-7186",
            "fax_number": "770-945-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 BUFORD HWY STE 5",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183628",
            "telephone_number": "770-945-7186",
            "fax_number": "770-945-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFORD DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JAMA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-945-7186",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "10445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.