Active NPI
Key Dentistry, PC
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1164589479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012971
- Legal business name
- KEY DENTISTRY, PC
- Practice address
- 3020 Roswell Rd
Suite 100
Marietta, GA 30062-4996 - Phone
- (770) 977-5547
- NPI assigned
- Jan 3, 2007
- 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
- Dr. Edward Schlissel, DDS
- Title
- President
- Phone
- (678) 977-5033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012971 | GA | Primary |
Addresses
Primary practice location
3020 Roswell Rd
Suite 100
Marietta, GA 30062-4996
Mailing address
3020 Roswell Rd
Suite 100
Marietta, GA 30062-4996
Phone (770) 977-5547
National Provider Directory
National Provider DirectoryLocations
3020 Roswell Rd
Ste 100
Marietta, GA 30062
Phone (470) 523-8333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Marietta, GA
- NPI 1881751188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164589479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 ROSWELL RD",
"address_2": "SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624996",
"telephone_number": "770-977-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 ROSWELL RD",
"address_2": "SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624996",
"telephone_number": "770-977-5547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEY DENTISTRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHLISSEL",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-977-5033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.