Active NPI
Benchmark Dental Group LLC
- Dentist
- Woodstock, GA
National Provider Identifier
1265117907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.