Organization Active NPI

Benchmark Dental Group LLC

  • Dentist
  • Woodstock, GA
National Provider Identifier
1265117907
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BENCHMARK DENTAL GROUP LLC
Practice address
2330 Towne Lake Pkwy
Building 700, Suite 130
Woodstock, GA 30189
Phone
(770) 926-2500
Fax
(770) 517-7911
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Dr. Timothy Byrd, DMD
Title
Owner
Phone
(770) 926-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2330 Towne Lake Pkwy
Building 700, Suite 130
Woodstock, GA 30189

Mailing address

2330 Towne Lake Pkwy
Building 700, Suite 130
Woodstock, GA 30189
Phone (770) 926-2500

National Provider Directory

National Provider Directory

Locations

2330 Towne LK Pkwy
BLDG 700 Ste 130
Woodstock, GA 30189
Phone (770) 926-2500

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1265117907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 TOWNE LAKE PKWY",
            "address_2": "BUILDING 700, SUITE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "770-926-2500",
            "fax_number": "770-517-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 TOWNE LAKE PKWY",
            "address_2": "BUILDING 700, SUITE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "770-926-2500",
            "fax_number": "770-517-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-926-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.