James E Carter, IV, DMD, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN010592 Issued in GA

Legal business name

JAMES E CARTER, IV, DMD, PC

Practice address

4520 Nelson Brogdon Blvd
Buford, GA 30518-3478

Phone

(770) 945-2119

Fax

(770) 945-0979

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Renee E Walker

Title

Office Manager

Phone

(770) 945-2119

Specialties & licenses 1

Addresses

Other names 1

• Sugar Hill Dentistry Other name

Locations

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1104173798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 NELSON BROGDON BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183478",
            "telephone_number": "770-945-2119",
            "fax_number": "770-945-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 NELSON BROGDON BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183478",
            "telephone_number": "770-945-2119",
            "fax_number": "770-945-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E CARTER, IV, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-945-2119"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN010592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugar Hill Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Jackson, OTR/L
• Jubrenza Renae Jackson, APC
• Monique Lasean Jackson, MA
• Sophia Evette Jackson, NP
• Dustin Christopher Jacobs, DDS
• Raquel Renee James, LMSW
• Min Ji Elizabeth Jang, OD
• Glory Jason, RN,N.P
• Jong In Jeoung, DMD
• Deborah Jerome, OTRL

• Dental Clinic/Center in Buford, GA
• Providers in Buford, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.