Advanced Dental Imaging Center

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

10246 Issued in GA

Legal business name

ADVANCED DENTAL IMAGING CENTER

Practice address

335 Parkway 575 Ste 200
Woodstock, GA 30188-3878

Phone

(770) 928-4747

NPI assigned

Aug 18, 2015

Last updated

Aug 18, 2015By 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. Kevin T Spillane, DMDNPI 1083834063

Title

Owner

Phone

(770) 928-4747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kevin T Spillane, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodstock, GA
  • NPI 1083834063
  NPD (past) Authorized official

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1154797728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 PARKWAY 575 STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883878",
            "telephone_number": "770-928-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PARKWAY 575 STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883878",
            "telephone_number": "770-928-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "SPILLANE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-928-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "10246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Adams, M.S.
• Jennifer Leigh Adams, M.ED., CCC-SLP
• Alicia Adamson Ogletree, LPC
• Celeste Grace Adote, DT
• Advanced Behavioral Dimensions
• Advanced Gastroenterology Group
• Advanced Health Solutions, LLC
• Advanced Pain & Spine Center
• Advanced Therapy Solutions
• Advent Counseling and Training (acts)

• Radiology Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.