Active NPI
Pamela Morton
- General Practice Dentistry
- Smyrna, GA
National Provider Identifier
1053840165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN015436
- Practice address
- 2900 S Cobb Dr SE
Smyrna, GA 30080-7859 - Phone
- (678) 905-0698
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN015436 | GA | Primary |
Addresses
Primary practice location
2900 S Cobb Dr SE
Smyrna, GA 30080-7859
Mailing address
155 Carnegie PL Ste 201
Fayetteville, GA 30214-3981
Phone (678) 203-5838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015436 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morton Smiles LLC | Current | Accepting new patients |
Locations
155 Carnegie Pl
Ste 201
Fayetteville, GA 30214
Phone (678) 435-9254
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Tailored Smiles Family Dentistry
- Dental Clinic/Center
- Fayetteville, GA
- NPI 1164238614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1053840165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CARNEGIE PL STE 201",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143981",
"telephone_number": "678-203-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807859",
"telephone_number": "678-905-0698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN015436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
- Theodore Morgan II, MD
- Cameron Morrison, LAPC
- Megan Morrow
- Kaitlin Morse
- Lynet Sabrine Mortensen, LCSW
- Mosaic Autism Services, LLC
- Aura Moseley, MASSAGE THERAPIST
- Mosthouse Inc (Mosthouse Lab Test & Healthcare Services)
- Mosthouse Inc (Mosthouse Lab Test)
- Moszee Aesthetics LLC (Refined Touch Aesthetics and Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.