Active NPI
Titanium Dental
- Periodontics
- Duluth, GA
National Provider Identifier
1073067591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN015124
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 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 DirectoryLocations
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.