Organization Active NPI

Daniel O'Shea DMD, LLC

Doing business as O'Shea Family Dental

  • Dental Clinic/Center
  • Roswell, GA
National Provider Identifier
1225851744
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DANIEL O'SHEA DMD, LLC
Doing business as
O'Shea Family Dental
Practice address
4648 Woodstock Rd Ste 250
Roswell, GA 30075-1942
Phone
(470) 508-0015
NPI assigned
Nov 4, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Dr. Daniel James O'Shea, DMDNPI 1124697073
Title
Owner Doctor
Phone
(470) 508-0015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

4648 Woodstock Rd Ste 250
Roswell, GA 30075-1942

Mailing address

338 Wells Cir
Canton, GA 30114-6106

Other names 1

  • O'Shea Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4648 Woodstock Rd
Ste 250
Roswell, GA 30075
Phone (470) 508-0015

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": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1225851744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 WELLS CIR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4648 WOODSTOCK RD STE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751942",
            "telephone_number": "470-508-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL O'SHEA DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "O'SHEA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "470-508-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Shea Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 4, 2024; 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.