Georgia Dentures and Implants PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN012628 Issued in GA

Legal business name

GEORGIA DENTURES AND IMPLANTS PC

Practice address

1905 Beaver Ruin Rd Ste 175
Norcross, GA 30071-3850

Phone

(770) 728-8072

NPI assigned

Feb 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Randeep Singh Bhullar, DDS

Title

President

Phone

(770) 728-8072

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1073012639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 BEAVER RUIN RD STE 175",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713850",
            "telephone_number": "770-728-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BEAVER RUIN RD STE 175",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713850",
            "telephone_number": "770-728-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DENTURES AND IMPLANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "BHULLAR",
        "authorized_official_first_name": "RANDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-728-8072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN012628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Clinic Patient Outreach LLC
• Georgia CVS Pharmacy LLC
• Georgia CVS Pharmacy, L.L.C.
• Georgia CVS Pharmacy, L.L.C.
• Georgia Dental Professionals, PC
• Georgia Laboratory Management LLC
• Georgia Medcircle LLC
• Georgia Network Physicians, LLC
• Georgia Neurodiagnostics, LLC
• Georgia Physician Associates PC

• Dental Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.