George L. Alissandratos, D.D.S., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

DS 2882 Issued in TN

Legal business name

GEORGE L. ALISSANDRATOS, D.D.S., P.C.

Practice address

431 Nissan Dr Ste 202
Smyrna, TN 37167-4365

Phone

(615) 459-4474

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Latto Alissandratos, D.D.S.

Title

President

Phone

(615) 459-4474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053472324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NISSAN DR STE 202",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NISSAN DR STE 202",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674365",
            "telephone_number": "615-459-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE L. ALISSANDRATOS, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALISSANDRATOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "LATTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-459-4474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS 2882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.