NPIMap

Organization Active NPI

Affordable Dentures & Implants of Georgia, LLC

Doing business as Affordable Dentures & Implants - Cartersville

  • General Practice Dentistry
  • Cartersville, GA
National Provider Identifier
1265145668
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS OF GEORGIA, LLC
Doing business as
Affordable Dentures & Implants - Cartersville
Practice address
210 Cherokee PL
Cartersville, GA 30121-2965
Phone
(678) 721-1003
NPI assigned
Dec 30, 2022
Last updated
Dec 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Olajumoke Adedoyin
Title
Owner
Phone
(678) 721-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

210 Cherokee PL
Cartersville, GA 30121-2965

Mailing address

210 Cherokee PL
Cartersville, GA 30121-2965
Phone (678) 721-1003

Other names 1

  • Affordable Dentures & Implants - Cartersville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coastal Oral Surgery Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1265145668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHEROKEE PL",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212965",
            "telephone_number": "678-721-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CHEROKEE PL",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212965",
            "telephone_number": "678-721-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "ADEDOYIN",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-721-1002"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Cartersville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.