Region Dental

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DN014167 Issued in TN

Legal business name

REGION DENTAL

Practice address

2488 Scenic Hwy S
Snellville, GA 30078-5710

Phone

(770) 736-2984

Fax

(770) 736-2987

NPI assigned

Sep 6, 2011

Last updated

Sep 6, 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

Jewell Toussiant

Title

Owner

Phone

(770) 736-2984

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1073894911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 SCENIC HWY S",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785710",
            "telephone_number": "770-736-2984",
            "fax_number": "770-736-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 SCENIC HWY S",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785710",
            "telephone_number": "770-736-2984",
            "fax_number": "770-736-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "TOUSSIANT",
        "authorized_official_first_name": "JEWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-736-2984"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "DN014167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Snellville, GA
• Providers in Snellville, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.