South Fulton Dental Care, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011415 Issued in GA

Legal business name

SOUTH FULTON DENTAL CARE, INC.

Practice address

4550 Jonesboro Rd Ste 1a
Union City, GA 30291-2072

Phone

(770) 306-2266

Fax

(770) 306-9111

NPI assigned

Jul 7, 2008

Organization subpart

No

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

Authorized official

Name

Melissa Hill, D.M.D.NPI 1235202896

Title

Doctor/Owner

Phone

(770) 306-2266

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Melissa Garrett Hill, D.M.D.

  • Dentist
  • Union City, GA
  • NPI 1235202896
  NPD (past) Authorized official

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1174786503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 JONESBORO RD STE 1A",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912072",
            "telephone_number": "770-306-2266",
            "fax_number": "770-306-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 JONESBORO RD STE 1A",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912072",
            "telephone_number": "770-306-2266",
            "fax_number": "770-306-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FULTON DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "770-306-2266",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keona V Simmons
• Danyell Smith
• Nicole Lilia Smith, DMD
• Turnmeika Smith
• Yvonne L Smith, MD
• South Haven Inc
• Southside Medical Care
• Southside Medical Care II LLC
• Thelma Teresa Spears
• Laritka Sutton

• General Practice Dentistry in Union City, GA
• Providers in Union City, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.