Organization Active NPI

Norcross Dental Associates

  • General Practice Dentistry
  • Norcross, GA
National Provider Identifier
1144481987
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORCROSS DENTAL ASSOCIATES
Practice address
6270 Smithpointe Dr
Norcross, GA 30092-2754
Phone
(770) 449-0099
NPI assigned
Jun 24, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
G. Riley
Title
Manager
Phone
(770) 449-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6270 Smithpointe Dr
Norcross, GA 30092-2754

Mailing address

6270 Smithpointe Dr
Norcross, GA 30092-2754

National Provider Directory

National Provider Directory

Locations

5448 Spalding Dr
Ste 100A
Norcross, GA 30092

6270 Smithpointe Dr
Norcross, GA 30092
Phone (770) 448-1977

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1144481987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 SMITHPOINTE DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 SMITHPOINTE DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922754",
            "telephone_number": "770-449-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCROSS DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-449-0099"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.