Active NPI
Ryan Jarratt Price, D.M.D.
- General Practice Dentistry
- Loganville, GA
National Provider Identifier
1114274370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN014450
- Practice address
- 3805 Harrison Rd
Loganville, GA 30052-2462 - Phone
- (770) 554-0848
- Fax
- (770) 554-4569
- NPI assigned
- Aug 7, 2012
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN014450 | GA | |
| General Practice Dentistry | 1223G0001X | DN014450 | GA | Primary |
Addresses
Primary practice location
3805 Harrison Rd
Loganville, GA 30052-2462
Mailing address
3805 Harrison Road
Loganville, GA 30052
Phone (770) 554-0848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014450 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Dental Professionals, PC | General Practice | Current | Accepting new patients |
Locations
3805 Harrison Rd
Loganville, GA 30052
Phone (770) 554-0848
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Princeton Dental
- General Practice Dentistry
- Loganville, GA
- NPI 1932851425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114274370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 HARRISON ROAD",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "30052",
"telephone_number": "770-554-0848",
"fax_number": "770-554-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 HARRISON RD",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300522462",
"telephone_number": "770-554-0848",
"fax_number": "770-554-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "RYAN",
"middle_name": "JARRATT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014450",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
- Mukti Gunvant Prema, DDS
- Premier Home Care Services LLC
- Premier Life Home Health Care (Premier Life Private Home Care Services)
- Prestige Health Partners LLC
- Karen Detlefsen Price, MA CCC/SLP
- Princeton Dental Group-Loganville
- Priority Guests Medical Logistics LLC
- Privatecarenursingservicellc
- Probity Tender Care LLC
- Promedica, Inc. (Promedica Psychiatry Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.