Brookhaven Dental Care, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BROOKHAVEN DENTAL CARE, P.C.

Practice address

4060 Peachtree Road, N.E.
Suite H
Atlanta, GA 30319-3020

Phone

(404) 261-0260

Fax

(404) 844-0373

NPI assigned

Feb 17, 2011

Last updated

Feb 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas John Michaels, D.M.D.

Title

Owner

Phone

(404) 261-0260

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1073810610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 PEACHTREE ROAD, N.E.",
            "address_2": "SUITE H",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303193020",
            "telephone_number": "404-261-0260",
            "fax_number": "404-844-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 PEACHTREE ROAD, N.E.",
            "address_2": "SUITE H",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303193020",
            "telephone_number": "404-261-0260",
            "fax_number": "404-844-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-261-0260",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brooks Medical Group, Inc.

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.