Vita Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VITA DENTISTRY, LLC

Practice address

1781 Brookstone Walk NW Ste 110
Acworth, GA 30101-7223

Phone

(770) 426-9994

Fax

(770) 426-0833

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Vita, DMD

Title

Owner

Phone

(770) 426-9994

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Biologic 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.

• Michelle L Mushtare-Hamel, PHARMD

  • Pharmacist
  • Acworth, GA
  • NPI 1699060731
  NPD

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1134945397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 BROOKSTONE WALK NW STE 110",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017223",
            "telephone_number": "770-426-9994",
            "fax_number": "770-426-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 BROOKSTONE WALK NW STE 110",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017223",
            "telephone_number": "770-426-9994",
            "fax_number": "770-426-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "VITA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-426-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528146750",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588216261",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biologic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Village Podiatry Group, LLC.
• Laura M Vincent, PT
• Stephen John Vinoba, MD
• Vision One Inc
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• Voice, Speech, and Swallowing Center of Georgia, LLC
• Guy Hamilton Vonwiegand, MA
• Brittany Nycole Voorhees
• Vrok Fitness LLC
• Mary C Wade, M.ED., LPC

• General Practice Dentistry in Acworth, GA
• Providers in Acworth, 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 Dec 3, 2024; 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.