NPIMap

Organization Active NPI

Duluth Dental Club, PC

  • Dental Clinic/Center
  • Duluth, GA
National Provider Identifier
1235726795
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DULUTH DENTAL CLUB, PC
Practice address
2730 Peachtree Industrial Blvd Ste 202
Duluth, GA 30097-8628
Phone
(678) 385-9355
NPI assigned
Dec 30, 2020
Last updated
Dec 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Parth Patel, DMDNPI 1174173017
Title
Owner
Phone
(215) 692-2993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2730 Peachtree Industrial Blvd Ste 202
Duluth, GA 30097-8628

Mailing address

2151 Hunters Green Dr
Lawrenceville, GA 30043-5181

National Provider Directory

National Provider Directory
Tax ID family
Duluth Dental Club PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1235726795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 HUNTERS GREEN DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PEACHTREE INDUSTRIAL BLVD STE 202",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978628",
            "telephone_number": "678-385-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH DENTAL CLUB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-692-2993",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Dec 1, 2021; 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.