NPIMap

Organization Active NPI

Laura C Davis DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Loganville, GA
National Provider Identifier
1063566008
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN011238 Issued in GA
Legal business name
LAURA C DAVIS DDS
Practice address
4132 Atlanta Hwy
Suite 202
Loganville, GA 30052-4930
Phone
(678) 475-7817
Fax
(678) 475-7607
NPI assigned
Jan 23, 2007
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Laura C Davis, DDSNPI 1972653871
Title
Owner/Orthodontist
Phone
(770) 471-5255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN011238 GA Primary

Addresses

Primary practice location

4132 Atlanta Hwy
Suite 202
Loganville, GA 30052-4930

Mailing address

4132 Atlanta Hwy
Suite 202
Loganville, GA 30052-4930
Phone (678) 475-7817

National Provider Directory

National Provider Directory
Tax ID family
Laura C Davis DDS4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4132 Atlanta Hwy
Ste 202
Loganville, GA 30052
Phone (678) 475-7817

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1063566008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 ATLANTA HWY",
            "address_2": "SUITE 202",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524930",
            "telephone_number": "678-475-7817",
            "fax_number": "678-475-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 ATLANTA HWY",
            "address_2": "SUITE 202",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524930",
            "telephone_number": "678-475-7817",
            "fax_number": "678-475-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA C DAVIS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "770-471-5255",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN011238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.