Organization Active NPI

Dental Town Emergency Services LLC

  • Dentist
  • Canton, GA
National Provider Identifier
1174491187
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.