Dentistry for Children of Cartersville LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DENTISTRY FOR CHILDREN OF CARTERSVILLE LLC

Practice address

11 Bowen CT
Cartersville, GA 30120-2493

Phone

(404) 389-1950

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Charles Coulter, DDS

Title

Owner

Phone

(404) 389-1950

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1215205661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SPRING ST NW",
            "address_2": "SIXTH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092864",
            "telephone_number": "404-389-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BOWEN CT",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202493",
            "telephone_number": "404-389-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR CHILDREN OF CARTERSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-389-1950",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Leigh Dean, PMHNP-BC
• Debkar
• Susan Elaine Deguia, NP-C
• Linda S. Denham, D.C.
• Caroline Elizabeth Dent, FNP-C
• Ashley N Derby, NP
• Anuj Sunil Desai, M.D.
• Hilina Desta
• Manda Moore Deville, PHARM.D. R.PH
• Nithin Devireddy, MD

• Pediatric Dentistry in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.