Active NPI
Barry L. Vlass, D.M.D.
- General Practice Dentistry
- Roswell, GA
National Provider Identifier
1164633343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9483
- Practice address
- 597 W Crossville Rd
Suite 100
Roswell, GA 30075-2561 - Phone
- (770) 992-5858
- Fax
- (770) 992-7277
- NPI assigned
- May 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9483 | GA | Primary |
Addresses
Primary practice location
597 W Crossville Rd
Suite 100
Roswell, GA 30075-2561
Mailing address
597 W Crossville Rd
Suite 100
Roswell, GA 30075-2561
Phone (770) 992-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9483 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164633343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "597 W CROSSVILLE RD",
"address_2": "SUITE 100",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752561",
"telephone_number": "770-992-5858",
"fax_number": "770-992-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "597 W CROSSVILLE RD",
"address_2": "SUITE 100",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752561",
"telephone_number": "770-992-5858",
"fax_number": "770-992-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLASS",
"first_name": "BARRY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "9483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.