Organization Active NPI

Todays Dentist, LLC

  • General Practice Dentistry
  • Roswell, GA
National Provider Identifier
1215261664
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11924 Issued in GA
Legal business name
TODAYS DENTIST, LLC
Practice address
685 W Crossville Rd
Roswell, GA 30075-2697
Phone
(770) 587-2727
NPI assigned
Oct 1, 2009
Last updated
Oct 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Dr. Logan V Gordon
Title
Business Manager
Phone
(770) 587-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11924 GA Primary

Addresses

Primary practice location

685 W Crossville Rd
Roswell, GA 30075-2697

Mailing address

685 W Crossville Rd
Roswell, GA 30075-2697
Phone (770) 587-2727

National Provider Directory

National Provider Directory

Locations

685 W Crossville Rd
Roswell, GA 30075
Phone (770) 587-2727

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.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1215261664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 W CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752697",
            "telephone_number": "770-587-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 W CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752697",
            "telephone_number": "770-587-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODAYS DENTIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-587-2727",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.