Organization Active NPI

Titanium Dental

  • Periodontics
  • Duluth, GA
National Provider Identifier
1073067591
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN015124 Issued in GA
Legal business name
TITANIUM DENTAL
Practice address
3796 Satellite Blvd Ste 101
Duluth, GA 30096-5698
Phone
(888) 414-6752
Fax
(888) 414-6752
NPI assigned
Aug 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Dr. James Chung Yoon, DMD, MS
Title
President
Phone
(706) 399-7266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DN015124 GA Primary

Addresses

Primary practice location

3796 Satellite Blvd Ste 101
Duluth, GA 30096-5698

Mailing address

3796 Satellite Blvd Ste 101
Duluth, GA 30096-5698
Phone (888) 414-6752

National Provider Directory

National Provider Directory

Locations

3796 Satellite Blvd
Ste 101
Duluth, GA 30096
Phone (888) 414-6752

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1073067591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3796 SATELLITE BLVD STE 101",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965698",
            "telephone_number": "888-414-6752",
            "fax_number": "888-414-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3796 SATELLITE BLVD STE 101",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965698",
            "telephone_number": "888-414-6752",
            "fax_number": "888-414-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITANIUM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-399-7266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN015124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.