Organization Active NPI

Atlanta Dentures LLC

  • Dentist
  • Marietta, GA
National Provider Identifier
1285384024
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ATLANTA DENTURES LLC
Practice address
361 N Marietta Pkwy NE
Marietta, GA 30060-1457
Phone
(770) 426-0288
Fax
(770) 499-9961
NPI assigned
Mar 25, 2022
Last updated
Jan 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Dr. Thomas L Van Galder, DDSNPI 1437250966
Title
Dentist/Manager
Phone
(404) 805-6314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

361 N Marietta Pkwy NE
Marietta, GA 30060-1457

Mailing address

361 N Marietta Pkwy NE
Marietta, GA 30060-1457
Phone (770) 426-0288

National Provider Directory

National Provider Directory

Locations

361 N Marietta Pkwy NE
Marietta, GA 30060
Phone (770) 426-0288

Practitioners & affiliated clinicians

Practitioners 2

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": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1285384024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 N MARIETTA PKWY NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601457",
            "telephone_number": "770-426-0288",
            "fax_number": "770-499-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 N MARIETTA PKWY NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601457",
            "telephone_number": "770-426-0288",
            "fax_number": "770-499-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA DENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "VAN GALDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/MANAGER",
        "authorized_official_telephone_number": "404-805-6314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.