Active NPI
Loganville Dental Associates
- General Practice Dentistry
- Loganville, GA
National Provider Identifier
1154682219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LOGANVILLE DENTAL ASSOCIATES
- Practice address
- 150 Highway 78
Loganville, GA 30052-2277 - Phone
- (770) 466-0580
- NPI assigned
- Jun 6, 2012
- Last updated
- Jun 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Hammond
- Title
- Office Manager
- Phone
- (770) 466-0580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
150 Highway 78
Loganville, GA 30052-2277
Mailing address
150 Highway 78
Loganville, GA 30052-2277
Phone (770) 466-0580
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338940800000",
"number": "1154682219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 HIGHWAY 78",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300522277",
"telephone_number": "770-466-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 HIGHWAY 78",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300522277",
"telephone_number": "770-466-0580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOGANVILLE DENTAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A",
"authorized_official_last_name": "HAMMOND",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-466-0580"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
- Listening Hands Care Services, LLC
- Kimberly Harrell Littrell, APRN
- Local Dental Partners, LLC (Walton Center for Family Dentistry)
- Cheryl Lockett, PHD
- Loganville Community Ministry Village, Inc.
- Loganville Dentist Office, PC (Loganville Dentist Office)
- Loganville Eyecare, PC
- Loganville Family Dentistry
- Loganville Foot and Ankle
- Loganville Foot and Ankle Medicine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.