Children's Dentistry of Roswell

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN013251 Issued in GA

Legal business name

CHILDREN'S DENTISTRY OF ROSWELL

Practice address

12020 Etris Rd
Suite A100
Roswell, GA 30075-1402

Phone

(678) 445-5444

Fax

(770) 874-0826

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd Asarch, DDSNPI 1649335746

Title

Owner

Phone

(678) 445-5444

Specialties & licenses 1

Addresses

Locations

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.

• Todd Asarch, DDS

  • Pediatric Dentistry
  • Woodstock, GA
  • NPI 1649335746
  Authorized official Same address or phone

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1265668412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301880161",
            "telephone_number": "678-445-5444",
            "fax_number": "770-874-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 ETRIS RD",
            "address_2": "SUITE A100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751402",
            "telephone_number": "678-445-5444",
            "fax_number": "770-874-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF ROSWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "ASARCH",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-445-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie M Atkins (Flamingo Dental Escape)
• Cheryll Ann Thompson LPC LLC
• Connie Cheung, DPT, MPH, RD/LD
• Lisa Cheyette, PHD
• Children for Dentistry of Roswell, LLC
• Childrens Dental Village, LLC
• Chill Out, LLC
• Cheryl Chineme
• Chinese Medical Clinic LLC
• Ana Isabel Chiprez, CMT

• Pediatric Dentistry in Roswell, GA
• Providers in Roswell, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.