All for Kids Dental Group, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN013969 Issued in GA

Legal business name

ALL FOR KIDS DENTAL GROUP, LLC

Practice address

4115 Tate St NE
Covington, GA 30014-2554

Phone

(770) 784-7099

Fax

(770) 784-5283

NPI assigned

Aug 23, 2013

Last updated

Aug 23, 2013By 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

Dr. Adrian Miller, DDSNPI 1356668289

Title

Owner/Pediatric Dentist

Phone

(770) 784-7099

Specialties & licenses 1

Addresses

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.

• Adrian Miller, D.D.S.

  • Pediatric Dentistry
  • Covington, GA
  • NPI 1356668289
  NPD (past) Authorized official

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1104250331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 TATE ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142554",
            "telephone_number": "770-784-7099",
            "fax_number": "770-784-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 TATE ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142554",
            "telephone_number": "770-784-7099",
            "fax_number": "770-784-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL FOR KIDS DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "770-784-7099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Covington, GA
• Providers in Covington, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.