Hammond Dental Sandy Springs LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAMMOND DENTAL SANDY SPRINGS LLC

Practice address

227 Sandy Springs PL Ste 352
Sandy Springs, GA 30328-5918

Phone

(404) 531-2003

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Micajah Jon Vickers

Title

LLC Manager

Phone

(404) 432-9922

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1114554169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE STE 520-176",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SANDY SPRINGS PL STE 352",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285918",
            "telephone_number": "404-531-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND DENTAL SANDY SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "MICAJAH",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "404-432-9922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Crystal Hardy, M.S.

• General Practice Dentistry in Sandy Springs, GA
• Providers in Sandy Springs, 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 Mar 26, 2020; 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.