Active NPI
Reich Dental Center Roswell LLC
- Preferred Provider Organization
- Roswell, GA
National Provider Identifier
1063961043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- DN10035
- Legal business name
- REICH DENTAL CENTER ROSWELL LLC
- Practice address
- 1775 Woodstock Rd
Suite 350
Roswell, GA 30075-2171 - Phone
- (770) 992-3353
- Fax
- (770) 992-5149
- NPI assigned
- Oct 1, 2016
- 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
- Mrs. Robin S Reich, DMD
- Title
- Owner
- Phone
- (770) 992-3353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | DN10035 | GA | Primary |
Addresses
Primary practice location
1775 Woodstock Rd
Suite 350
Roswell, GA 30075-2171
Mailing address
1775 Woodstock Rd
Suite 350
Roswell, GA 30075-2171
Phone (770) 992-3353
National Provider Directory
National Provider DirectoryLocations
1775 Woodstock Rd
Ste 350
Roswell, GA 30075
Phone (678) 434-3373
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Roswell, GA
- NPI 1225100670
-
- General Practice Dentistry
- Roswell, GA
- NPI 1033802830
-
- Dentist
- Smyrna, GA
- NPI 1750166138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475280000000",
"number": "1063961043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 WOODSTOCK RD",
"address_2": "SUITE 350",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752171",
"telephone_number": "770-992-3353",
"fax_number": "770-992-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 WOODSTOCK RD",
"address_2": "SUITE 350",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752171",
"telephone_number": "770-992-3353",
"fax_number": "770-992-5149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REICH DENTAL CENTER ROSWELL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-01",
"last_updated": "2016-10-01",
"status": "A",
"authorized_official_last_name": "REICH",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-992-3353",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "GA",
"license": "DN10035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.