Organization Active NPI

Royal E Fink DDS PC

  • General Practice Dentistry
  • Flowery Branch, GA
National Provider Identifier
1083836126
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8017 Issued in GA
Legal business name
ROYAL E FINK DDS PC
Practice address
6095 Atlanta Hwy Ste 200
Flowery Branch, GA 30542-5377
Phone
(770) 945-7077
Fax
(770) 965-8101
NPI assigned
May 2, 2007
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. Royal Edward Fink Jr., DDSNPI 1629299755
Title
Owner Dentist
Phone
(770) 945-7077

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 8017 GA Primary

Addresses

Primary practice location

6095 Atlanta Hwy Ste 200
Flowery Branch, GA 30542-5377

Mailing address

6095 Atlanta Hwy Ste 200
Flowery Branch, GA 30542-5377
Phone (770) 945-7077

National Provider Directory

National Provider Directory

Locations

6095 Atlanta Hwy
Ste 200
Flowery Branch, GA 30542
Phone (770) 945-7077

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083836126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 ATLANTA HWY STE 200",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425377",
            "telephone_number": "770-945-7077",
            "fax_number": "770-965-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 ATLANTA HWY STE 200",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425377",
            "telephone_number": "770-945-7077",
            "fax_number": "770-965-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL E FINK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "ROYAL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "770-945-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, 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.