Pain Away Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1501026531 Issued in GA

Legal business name

PAIN AWAY DENTISTRY, LLC

Practice address

5626 Fulton Industrial Blvd SW
Ste 110
Atlanta, GA 30336-2641

Phone

(404) 349-7730

Fax

(404) 349-7729

NPI assigned

Mar 12, 2015

Last updated

Mar 12, 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. Chanda Gordon, DDS

Title

Ceo/ Dentist

Phone

(404) 349-7730

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1164815254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 FULTON INDUSTRIAL BLVD SW",
            "address_2": "STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303362641",
            "telephone_number": "404-349-7730",
            "fax_number": "404-349-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 FULTON INDUSTRIAL BLVD SW",
            "address_2": "STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303362641",
            "telephone_number": "404-349-7730",
            "fax_number": "404-349-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AWAY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CHANDA",
        "authorized_official_title_or_position": "CEO/ DENTIST",
        "authorized_official_telephone_number": "404-349-7730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "1501026531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Paige
• Jillian Callie Paige
• Travis T Paige, D.D.S.
• Haeun Paik
• Pain & Palliative Care Center of Atlanta
• Pain Clinic of Aimr
• Pain Consultants of Atlanta LLC
• Pain Management of the South
• Pain Relief Network of the South
• Pain Specialty Center of Atlanta, P.C.

• Dental Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.