NPIMap

Organization Active NPI

Roy C. Moscattini DDS PC

  • General Practice Dentistry
  • Duluth, GA
National Provider Identifier
1205919461
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11526 Issued in GA
Legal business name
ROY C. MOSCATTINI DDS PC
Practice address
3660 Howell Ferry Rd
BLDG a
Duluth, GA 30096
Phone
(770) 476-4144
Fax
(770) 813-8025
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mrs. Lori Shurden Moscattini
Title
Office MGR
Phone
(770) 476-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11526 GA Primary

Addresses

Primary practice location

3660 Howell Ferry Rd
BLDG a
Duluth, GA 30096

Mailing address

3660 Howell Ferry Rd
BLDG a
Duluth, GA 30096
Phone (770) 476-4144

National Provider Directory

National Provider Directory

Locations

3660 Howell Ferry Rd
#A
Duluth, GA 30096
Phone (770) 476-4144

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1205919461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 HOWELL FERRY RD",
            "address_2": "BLDG A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-476-4144",
            "fax_number": "770-813-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 HOWELL FERRY RD",
            "address_2": "BLDG A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-476-4144",
            "fax_number": "770-813-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY C. MOSCATTINI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MOSCATTINI",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "SHURDEN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "770-476-4144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.