Organization Active NPI

Parkway Dental, P.C.

  • General Practice Dentistry
  • Snellville, GA
National Provider Identifier
1265543953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN11787 Issued in GA
Legal business name
PARKWAY DENTAL, P.C.
Practice address
1977 Scenic Hwy N
Suite D
Snellville, GA 30078-2137
Phone
(770) 979-0661
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
J. Walker Love, D.D.S.
Title
President
Phone
(770) 979-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN11787 GA Primary

Addresses

Primary practice location

1977 Scenic Hwy N
Suite D
Snellville, GA 30078-2137

Mailing address

1977 Scenic Hwy N
Suite D
Snellville, GA 30078-2137
Phone (770) 979-0661

National Provider Directory

National Provider Directory

Locations

1977 Scenic Hwy N
Ste D
Snellville, GA 30078
Phone (770) 979-0661

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265543953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 SCENIC HWY N",
            "address_2": "SUITE D",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782137",
            "telephone_number": "770-979-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 SCENIC HWY N",
            "address_2": "SUITE D",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782137",
            "telephone_number": "770-979-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "J. WALKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-979-0661",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN11787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.