Metropolitan Dental & Medical Clinic Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

METROPOLITAN DENTAL & MEDICAL CLINIC INC

Practice address

1720 Old Spring House LN Ste 315
Dunwoody, GA 30338-6215

Phone

(770) 837-9293

Fax

(770) 837-9243

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Luis F Campos, CDT

Title

President & Ceo

Phone

(770) 837-9293

Specialties & licenses 1

Addresses

Other names 1

• Pro Dental Smile Doing business as

Locations

Practitioners 3

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

• Yaseen Makhzan, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dunwoody, GA
  • NPI 1447035662
  NPD
• David Charles McKay, DMD

  • Dentist
  • Dunwoody, GA
  • NPI 1326061227
  NPD
• Patricia E Hernandez, NP-C

  • Family Nurse Practitioner
  • Roswell, GA
  • NPI 1114269974
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1194281774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 OLD SPRING HOUSE LN STE 315",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386215",
            "telephone_number": "770-837-9293",
            "fax_number": "770-837-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 OLD SPRING HOUSE LN STE 315",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386215",
            "telephone_number": "770-837-9293",
            "fax_number": "770-837-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DENTAL & MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "770-837-9293",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CDT"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Dental Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mec Health Technologies, LLC
• Stephanie Anne Medlin, LCSW
• Mel Optical LLC
• Tamia Melton
• Aubrey Merritt, DPT
• Richard Dale Meyer, MD
• Miller Feeding Therapy, LLC
• Denise Ann Miller-Tso, NP
• Diana Shabat Miller, OTD, OTR/L
• Erin Miller

• Dental Clinic/Center in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.