Organization Active NPI

Quarles Dental Inc

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1083118624
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015090 Issued in GA
Legal business name
QUARLES DENTAL INC
Doing business as
Quarles Dental
Practice address
993 Johnson Ferry Rd NE
BLDG. D, Suite 490
Atlanta, GA 30342
Phone
(404) 252-3170
Fax
(404) 252-3175
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Dr. Blake Quarles, DMDNPI 1770942898
Title
Owner Dentist
Phone
(404) 252-3170

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN015090 GA Primary

Addresses

Primary practice location

993 Johnson Ferry Rd NE
BLDG. D, Suite 490
Atlanta, GA 30342

Mailing address

993 Johnson Ferry Rd NE
BLDG. D, Suite 490
Atlanta, GA 30342

Other names 1

  • Quarles Dental Doing business as

National Provider Directory

National Provider Directory

Locations

993 Johnson Ferry Rd
Ste D490
Sandy Springs, GA 30342
Phone (404) 252-3170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1083118624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE",
            "address_2": "BLDG. D, SUITE 490",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE",
            "address_2": "BLDG. D, SUITE 490",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-252-3170",
            "fax_number": "404-252-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUARLES DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "QUARLES",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "404-252-3170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quarles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.