Active NPI
Leading Edge Dentistry LLC
Doing business as Leading Edge Dentistry
- Dental Clinic/Center
- Marietta, GA
National Provider Identifier
1184369035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LEADING EDGE DENTISTRY LLC
- Doing business as
- Leading Edge Dentistry
- Practice address
- 3475 Dallas Hwy SW
Suite No 310
Marietta, GA 30064-6405 - Phone
- (770) 425-2001
- Fax
- (770) 425-8696
- NPI assigned
- May 4, 2022
- Last updated
- Jul 24, 2023
- 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
- Dr. Dimple Patel, DMD
- Title
- Owner
- Phone
- (770) 425-2001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3475 Dallas Hwy SW
Suite No 310
Marietta, GA 30064-6405
Mailing address
3475 Dallas Hwy SW Ste 310
Marietta, GA 30064-6413
Phone (770) 425-2001
Other names 1
- Leading Edge Dentistry
National Provider Directory
National Provider DirectoryLocations
3475 Dallas Hwy SW
Ste 310
Marietta, GA 30064
Phone (770) 425-2001
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.
-
- General Practice Dentistry
- Marietta, GA
- NPI 1881774461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690156800000",
"number": "1184369035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3475 DALLAS HWY SW STE 310",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300646413",
"telephone_number": "770-425-2001",
"fax_number": "770-425-8696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 DALLAS HWY SW",
"address_2": "SUITE NO 310",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300646405",
"telephone_number": "770-425-2001",
"fax_number": "770-425-8696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEADING EDGE DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-04",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DIMPLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-425-2001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Leading Edge Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Leading Edge Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.