Eaglin Dental Group Midtown

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EAGLIN DENTAL GROUP MIDTOWN

Practice address

275 14TH St NW
Ste 100
Atlanta, GA 30318-9100

Phone

(678) 902-9180

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Tracie Denney

Title

Office Manager

Phone

(770) 471-2333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1124451612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 14TH ST NW",
            "address_2": "STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303189100",
            "telephone_number": "678-902-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 14TH ST NW",
            "address_2": "STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303189100",
            "telephone_number": "678-902-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLIN DENTAL GROUP MIDTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "DENNEY",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-471-2333"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.