Castiblanco Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CASTIBLANCO DENTAL CARE LLC

Doing business as

Encore Family Dentistry

Practice address

3901 Roswell Rd Ste 220
Marietta, GA 30062-8816

Phone

(770) 977-0977

Fax

(770) 977-2910

NPI assigned

Feb 1, 2019

Last updated

Feb 1, 2019By 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. Adriana Castiblanco Shorey, MS, DMD

Title

Dentist

Phone

(770) 977-0977

Specialties & licenses 1

Addresses

Other names 1

• Encore 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.

• James Prizant Sylvan, D.D.S.

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1831253905
  NPD (past)

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1104381359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 ROSWELL RD STE 220",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628816",
            "telephone_number": "770-977-0977",
            "fax_number": "770-977-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ROSWELL RD STE 220",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628816",
            "telephone_number": "770-977-0977",
            "fax_number": "770-977-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTIBLANCO DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "SHOREY",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "CASTIBLANCO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-977-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Mischelle Casiano, M.D.
• Valentina Ketlie Casimir, CRNA
• Cassandra Cammon (Nurse Aides on Call)
• Michelle Cast, M.A. CCC-SLP
• Christine Aisha Castater, MD
• Adriana Castiblanco
• Rena Loraine Castlin, NP
• Kimberly Castoe, CRNA
• Victor Castresana
• Isabela Castro Sucre, CPNP-PC

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, 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 Feb 1, 2019; 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.