Chastain Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHASTAIN DENTAL GROUP LLC

Practice address

4920 Roswell Rd Ste 265
Atlanta, GA 30342-2686

Phone

(404) 458-9908

Fax

(404) 458-9905

NPI assigned

Jan 14, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Donielle Williams, DMDNPI 1780181412

Title

Pediatric Dentist / Owner

Phone

(404) 458-9908

Specialties & licenses 1

Addresses

Other names 1

• Grin Gallery Pediatric Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donielle Fa'Nice Williams, DMD

  • Pediatric Dentistry
  • Atlanta, GA
  • NPI 1780181412
  NPD Authorized official

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1245041979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 OBRYANT CIR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823906",
            "telephone_number": "404-512-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ROSWELL RD STE 265",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422686",
            "telephone_number": "404-458-9908",
            "fax_number": "404-458-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASTAIN DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DONIELLE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST / OWNER",
        "authorized_official_telephone_number": "404-458-9908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grin Gallery Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desiree Thandi Chase, LCSW
• Julia Katherine Chase, MD
• Kelsey Chase
• Lana Marie Chase, CNS
• Devorah Chasen
• Chastain Dental Studio LLC
• Chastain Integrative Medicine LLC
• Janet Chastain, NNP
• Marsharee A Chastain, LCSW
• Michael Kirk Chastain, CRNA

• Dental Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.