Great Expressions Dental Centers

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DNCS000275 Issued in GA

Legal business name

GREAT EXPRESSIONS DENTAL CENTERS

Practice address

5230 McGinnis Ferry Rd
Alpharetta, GA 30005-3921

Phone

(678) 527-1130

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Yolanda Renee Moore, DDSNPI 1396946513

Title

Periodontist

Phone

(404) 445-9282

Specialties & licenses 1

Addresses

Tax ID family

Great Expressions Dental Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Great Expressions Dental Centers of Georgia, PC

  • Dentist
  • Bloomfield Hills, MI
  • NPI 1518165141
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yolanda Renee Moore, D.D.S.

  • Periodontics
  • Alpharetta, GA
  • NPI 1396946513
  NPD (past) Authorized official

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1164816740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 MCGINNIS FERRY RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053921",
            "telephone_number": "678-527-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 MCGINNIS FERRY RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053921",
            "telephone_number": "678-527-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT EXPRESSIONS DENTAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "404-445-9282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DNCS000275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Yavette Graves
• Matthew A Graves, DC
• Kiara Gray
• Norman Gray, PT
• Rayon Gray, PT
• Greater Atlanta Plastic Surgery Center LLC
• Kelsey Lynne Greeff, P.A.-C
• Green Apple Nutrition, Inc
• Green Haven Hospice and Palliative Care, LLC
• Anastasia Green, NP

• Periodontics in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.