Bella Cosmetic and Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DNO13198 Issued in GA

Legal business name

BELLA COSMETIC AND FAMILY DENTISTRY

Practice address

4574 Lawrenceville Hwy NW
Suite 120
Lilburn, GA 30047-3647

Phone

(770) 921-9000

NPI assigned

Jan 10, 2014

Last updated

Mar 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roderick S Cooper, D.D.SNPI 1831109149

Title

Owner

Phone

(770) 921-9000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Roderick Sampson Cooper, D.D.S.

  • General Practice Dentistry
  • Hazelwood, MO
  • NPI 1831109149
  NPD (past) Authorized official
• Mehtab Manji

  • General Practice Dentistry
  • Tucker, GA
  • NPI 1497404917
  NPD (past)

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1154743136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4574 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 120",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473647",
            "telephone_number": "770-921-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4574 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 120",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473647",
            "telephone_number": "770-921-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA COSMETIC AND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-921-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DNO13198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BCGP
• Thomas Ryan Beddingfield, RPH
• Believe & Conquer Therapeutic Services LLC
• Joi Aimee Bell-Blanding, WHNP
• Stacha Bell
• Todd Bender, NP-C
• Dianne Jean-Marie Bennett-Johnson, M.D.
• Danisha Bennett, NMT, LMT
• Katharine J Benton, PT, DPT
• Nardos A Benton, DMD

• Dentist in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.