NPIMap

Organization Active NPI

Choice Dental P.C

  • Dental Clinic/Center
  • Hiram, GA
National Provider Identifier
1265454102
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
012443 Issued in GA
Legal business name
CHOICE DENTAL P.C
Practice address
4484 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2737
Phone
(770) 222-7818
Fax
(770) 222-7828
NPI assigned
Jul 23, 2006
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Olajumoke Adedoyin, DDSNPI 1447272380
Title
Dentist/Owner
Phone
(404) 966-7515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 012443 GA Primary

Addresses

Primary practice location

4484 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2737

Mailing address

4484 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2737
Phone (770) 222-7818

National Provider Directory

National Provider Directory

Locations

4484 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-7555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1265454102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4484 JIMMY LEE SMITH PKWY",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412737",
            "telephone_number": "770-222-7818",
            "fax_number": "770-222-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4484 JIMMY LEE SMITH PKWY",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412737",
            "telephone_number": "770-222-7818",
            "fax_number": "770-222-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE DENTAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "ADEDOYIN",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "404-966-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "012443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.