Active NPI
Ama Dental Care LLC
- General Practice Dentistry
- Lawrenceville, GA
National Provider Identifier
1225660541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AMA DENTAL CARE LLC
- Practice address
- 3370 Sugarloaf Pkwy Ste G8
Lawrenceville, GA 30044-5486 - Phone
- (615) 275-6669
- NPI assigned
- Feb 5, 2020
- Last updated
- Feb 5, 2020
- 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
- Anna Duval N/a Duval, DDS
- Title
- Dentist
- Phone
- (615) 275-6669
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
3370 Sugarloaf Pkwy Ste G8
Lawrenceville, GA 30044-5486
Mailing address
3370 Sugarloaf Pkwy Ste G8
Lawrenceville, GA 30044-5486
Phone (615) 275-6669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346491636 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
3370 Sugarloaf Pkwy
Ste G8
Lawrenceville, GA 30044
Phone (615) 275-6669
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.
-
- Dentist
- Nashville, TN
- NPI 1346491636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580860800000",
"number": "1225660541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3370 SUGARLOAF PKWY STE G8",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300445486",
"telephone_number": "615-275-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3370 SUGARLOAF PKWY STE G8",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300445486",
"telephone_number": "615-275-6669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMA DENTAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-05",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A",
"authorized_official_last_name": "DUVAL",
"authorized_official_first_name": "ANNA DUVAL",
"authorized_official_middle_name": "N/A",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "615-275-6669",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346491636",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.