Organization Active NPI

Reich Dental Center Roswell LLC

  • Preferred Provider Organization
  • Roswell, GA
National Provider Identifier
1063961043
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DN10035 Issued in GA
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

Updated by the provider on Oct 1, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.