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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Camas, WA
- NPI 1285974915
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.