Dameron Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAMERON FAMILY DENTISTRY

Practice address

6199 Hickory Flat Hwy
Suite 130
Canton, GA 30115-7255

Phone

(770) 345-8646

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Laura Dameron, DMDNPI 1790790103

Title

Dentist/Owner

Phone

(770) 345-8646

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Lynn Dameron, DMD

  • General Practice Dentistry
  • Canton, GA
  • NPI 1790790103
  NPD (past) Authorized official
• Charles Emery Dameron, DMD

  • General Practice Dentistry
  • Canton, GA
  • NPI 1336154749
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063427474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6199 HICKORY FLAT HWY",
            "address_2": "SUITE 130",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6199 HICKORY FLAT HWY",
            "address_2": "SUITE 130",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157255",
            "telephone_number": "770-345-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMERON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAMERON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "770-345-8646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly D'Addario, OTR/L
• Jeff A D'Ambrosio, PA-C
• Lauren Amanda D'Errico, LMT
• Ryan M Dailey, PHARM.D.
• Damascus Road Counseling, LLC
• Charles Emery Dameron, DMD
• Laura Lynn Dameron, DMD
• Aziza Bao-Ngoc Dang, PHARMD
• Marni Elizabeth Daniel, CRNA
• Natalia Dankwa, LCSW

• General Practice Dentistry in Canton, GA
• Providers in Canton, 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 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.