Organization Active NPI

Buckhead Periodontics, P.C.

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1093990327
Registry record updated Jan 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN009901 Issued in GA
Legal business name
BUCKHEAD PERIODONTICS, P.C.
Practice address
2970 Peachtree Rd NW
Suite #622
Atlanta, GA 30305-2192
Phone
(404) 261-9593
Fax
(404) 261-9409
NPI assigned
Jan 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2008

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

Authorized official

Name
Dr. Laura Day Braswell, D.D.S.NPI 1922022615
Title
Owner
Phone
(404) 261-9593

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
Dental Clinic/Center 261QD0000X DN009901 GA Primary

Addresses

Primary practice location

2970 Peachtree Rd NW
Suite #622
Atlanta, GA 30305-2192

Mailing address

2970 Peachtree Rd NW
Suite #622
Atlanta, GA 30305-2192
Phone (404) 261-9593

National Provider Directory

National Provider Directory

Locations

2970 Peachtree Rd NW
Ste 622
Atlanta, GA 30305
Phone (404) 261-9593

Practitioners & affiliated clinicians

Practitioners 2

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": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199577600000",
    "number": "1093990327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 PEACHTREE RD NW",
            "address_2": "SUITE #622",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052192",
            "telephone_number": "404-261-9593",
            "fax_number": "404-261-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 PEACHTREE RD NW",
            "address_2": "SUITE #622",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052192",
            "telephone_number": "404-261-9593",
            "fax_number": "404-261-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD PERIODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2008-01-06",
        "status": "A",
        "authorized_official_last_name": "BRASWELL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "DAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-261-9593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN009901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 6, 2008; 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.