NPIMap

Organization Active NPI

Holcomb Bridge Dental, LLC

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1073566378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOLCOMB BRIDGE DENTAL, LLC
Practice address
2850 Holcomb Bridge Rd.
Suite 120
Alpharetta, GA 30022-1658
Phone
(770) 640-9033
NPI assigned
May 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel D. KimNPI 1639526742
Title
Owner
Phone
(770) 640-9033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2850 Holcomb Bridge Rd.
Suite 120
Alpharetta, GA 30022-1658

Mailing address

2850 Holcomb Bridge Rd.
Suite 120
Alpharetta, GA 30022-1658

National Provider Directory

National Provider Directory

Locations

2850 Holcomb Bridge Rd
Ste 120
Alpharetta, GA 30022
Phone (404) 510-2816

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073566378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 HOLCOMB BRIDGE RD.",
            "address_2": "SUITE 120",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 HOLCOMB BRIDGE RD.",
            "address_2": "SUITE 120",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221658",
            "telephone_number": "770-640-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLCOMB BRIDGE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-640-9033",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.