Fountain Oaks Dental P.C.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

FOUNTAIN OAKS DENTAL P.C.

Practice address

3763 Roswell Rd NE
Atlanta, GA 30342-4414

Phone

(404) 261-2211

Fax

(404) 261-1390

NPI assigned

Jan 12, 2007

Last updated

Apr 24, 2008By 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

William Andrew Litton

Title

Vice President

Phone

(678) 879-1177

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.

• Christopher Allen Cansler, DMD

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1942351804
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1275684797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 ROSWELL RD NE STE 13A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422636",
            "telephone_number": "404-261-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 ROSWELL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424414",
            "telephone_number": "404-261-2211",
            "fax_number": "404-261-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OAKS DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "LITTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "678-879-1177"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fountain of Youth MD LLC
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• Alison Virginia Fountain, M.D.
• Chelsea E Fountain
• Faith A Fountain

• Point of Service in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.