Active NPI
Dillon & Greene Dental Services LLC
- General Practice Dentistry
- Smyrna, GA
National Provider Identifier
1275907891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DILLON & GREENE DENTAL SERVICES LLC
- Practice address
- 2220 Atlanta Rd SE
Suite 104
Smyrna, GA 30080-1583 - Phone
- (770) 435-6888
- Fax
- (770) 432-7506
- NPI assigned
- Nov 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tracy Dillon, DDS
- Title
- Dentist
- Phone
- (770) 435-6888
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X |
Addresses
Primary practice location
2220 Atlanta Rd SE
Suite 104
Smyrna, GA 30080-1583
Mailing address
2220 Atlanta Rd SE
Suite 104
Smyrna, GA 30080-1583
Phone (770) 435-6888
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Smyrna, GA
- NPI 1609070903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457481600000",
"number": "1275907891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 ATLANTA RD SE",
"address_2": "SUITE 104",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300801583",
"telephone_number": "770-435-6888",
"fax_number": "770-432-7506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 ATLANTA RD SE",
"address_2": "SUITE 104",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300801583",
"telephone_number": "770-435-6888",
"fax_number": "770-432-7506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DILLON & GREENE DENTAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-19",
"last_updated": "2016-03-09",
"status": "A",
"authorized_official_last_name": "DILLON",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "770-435-6888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.