Active NPI
Dental Town Emergency Services LLC
- Dentist
- Canton, GA
National Provider Identifier
1174491187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTAL TOWN EMERGENCY SERVICES LLC
- Practice address
- 2020 Cumming Hwy Ste 100
Canton, GA 30115-8071 - Phone
- (770) 741-0439
- NPI assigned
- Oct 29, 2025
- Last updated
- Oct 29, 2025
- 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
- Jo Ann Rice
- Title
- Credentialing & Enrollment Director
- Phone
- (470) 881-8679
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
2020 Cumming Hwy Ste 100
Canton, GA 30115-8071
Mailing address
2970 Brandywine Rd Ste 200
Atlanta, GA 30341-5549
Phone (770) 692-1000
National Provider Directory
National Provider DirectoryLocations
2020 Cumming Hwy
#100
Canton, GA 30115
Phone (770) 622-1515
Practitioners & affiliated clinicians
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.
-
- Dentist
- Canton, GA
- NPI 1053930289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1174491187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2970 BRANDYWINE RD STE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303415549",
"telephone_number": "770-692-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CUMMING HWY STE 100",
"city": "CANTON",
"state": "GA",
"postal_code": "301158071",
"telephone_number": "770-741-0439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL TOWN EMERGENCY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "JO ANN",
"authorized_official_title_or_position": "CREDENTIALING & ENROLLMENT DIRECTOR",
"authorized_official_telephone_number": "470-881-8679"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
- Tia Fortes Denkinger, M.S., CCC-SLP
- Catherine Lynn Denner, PHARM.D.
- Melissa J Denning, M.S. CCC-SLP
- Christina Maria Dennis, MD
- Maya Dennis
- Dentistry at Hickory Flat PC (Dentistry at Hickory Flat)
- Mary Leigh Denton Sr., L.C.S.W.
- Aashish Kiran Desai, M.D.
- Kingel N Desai, PA-C
- Vincent Albert Destasio Jr., RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.