Val Kolpakov, DDS, MD, PHD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013657 Issued in GA

Legal business name

VAL KOLPAKOV, DDS, MD, PHD, LLC

Practice address

401 S Main St Ste B1
Alpharetta, GA 30009-1958

Phone

(770) 569-5333

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Val Kolpakov, DDS, MD, PHDNPI 1093044398

Title

Owner

Phone

(770) 569-5333

Specialties & licenses 1

Addresses

Other names 1

• Peach State Dentistry Doing business as

Locations

Practitioners 1

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

• Val Kolpakov, DDS,MD,PHD

  • Dentist
  • Alpharetta, GA
  • NPI 1093044398
  NPD (past) Authorized official

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1285860155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST STE B1",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091958",
            "telephone_number": "770-569-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST STE B1",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091958",
            "telephone_number": "770-569-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL KOLPAKOV, DDS, MD, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "KOLPAKOV",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-569-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD, PHD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peach State Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.