Active NPI
Buford Dentistry
- Dentist
- Buford, GA
National Provider Identifier
1053457622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10445
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryNPI 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
- Janna Buchan, BCBA
- Courteney Kristine Buchanan, NP
- Buford Care Inc
- Buford Clinic of Chiropractic
- Buford Dental Associates PC
- Buford Dialysis LLC (Buford Dialysis)
- Buford Eye Surgery Center
- Buford Family Chiropractic, LLC
- Buford Family Dental Care, LLC
- Buford Family Practice and Urgent Care Center, P.C
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.