Northeast Georgia Dental Professionals, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHEAST GEORGIA DENTAL PROFESSIONALS, LLC

Doing business as

Advanced & Family Dentistry

Practice address

2700 Braselton Hwy Ste 12
Dacula, GA 30019-3263

Phone

(770) 932-4240

NPI assigned

Nov 12, 2018

Last updated

Nov 12, 2018By 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

Eric Jones, DMD

Title

Ceo

Phone

(770) 932-4240

Specialties & licenses 1

Addresses

Other names 1

• Advanced & Family Dentistry Doing business as

Locations

Practitioners 1

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.

• Alan Barry Hatcher, D.D.S.

  • General Practice Dentistry
  • Dacula, GA
  • NPI 1659589406
  NPD (past)

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1093283715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BRASELTON HWY STE 12",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193263",
            "telephone_number": "770-932-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BRASELTON HWY STE 12",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193263",
            "telephone_number": "770-932-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA DENTAL PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-932-4240",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced & Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carey L. Norton, D.M.D.
• Nupath Medical LLC
• Nooredin Nurani, DMD
• Nuwa Home Nursing LLC

• General Practice Dentistry in Dacula, GA
• Providers in Dacula, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.