NPIMap

Organization Active NPI

Todd W Mullikin, DDS, PC

  • Dentist
  • Marietta, GA
National Provider Identifier
1083623292
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN008703 Issued in GA
Legal business name
TODD W MULLIKIN, DDS, PC
Practice address
3733 Canton Rd
Marietta, GA 30066-2663
Phone
(770) 926-9914
Fax
(770) 926-0306
NPI assigned
Aug 5, 2006
Last updated
Mar 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Dr. Todd Wilson Mullikin, DDSNPI 1740620319
Title
Dentist
Phone
(770) 926-9914

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
Dentist 122300000X DN008703 GA Primary

Addresses

Primary practice location

3733 Canton Rd
Marietta, GA 30066-2663

Mailing address

3733 Canton Rd
Marietta, GA 30066-2663
Phone (770) 926-9914

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1083623292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 CANTON RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662663",
            "telephone_number": "770-926-9914",
            "fax_number": "770-926-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 CANTON RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662663",
            "telephone_number": "770-926-9914",
            "fax_number": "770-926-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD W MULLIKIN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "MULLIKIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-926-9914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN008703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.