Dr. Jay K. Kansal, DMD, PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN013686 Issued in GA

Legal business name

DR. JAY K. KANSAL, DMD, PC

Practice address

2480 Windy Hill Rd SE
Suite 405
Marietta, GA 30067-8644

Phone

(770) 952-0136

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jay Kansal, DMD

Title

Owner

Phone

(678) 521-1888

Specialties & licenses 1

Addresses

Other names 1

• Cobb Smiles Dental Doing business as

Locations

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1245620558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE",
            "address_2": "SUITE 405",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678644",
            "telephone_number": "770-952-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE",
            "address_2": "SUITE 405",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678644",
            "telephone_number": "770-952-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAY K. KANSAL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "KANSAL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-521-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobb Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Marietta, GA
• Providers in Marietta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.