Meadowbrook Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEADOWBROOK FAMILY DENTISTRY

Practice address

2405 Satellite Blvd
Suite 115
Duluth, GA 30096-5818

Phone

(770) 622-5909

NPI assigned

May 3, 2016

Last updated

Jan 29, 2017By 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. Tina Herington, DMD

Title

President

Phone

(678) 522-3635

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Heather Rae Frodge, D.M.D.

  • Dentist
  • Atlanta, GA
  • NPI 1528235116
  NPD (past)
• Gabrielle Lina Going, DMD

  • General Practice Dentistry
  • Duluth, GA
  • NPI 1023677275
  NPD (past)
• Poonam Kalaria

  • Student in an Organized Health Care Education/Training Program
  • Duluth, GA
  • NPI 1396326187
  NPD (past)
• Samantha Knight, DMD

  • Dentist
  • Brookhaven, GA
  • NPI 1922466580
  NPD (past)

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485648000000",
    "number": "1295180750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SATELLITE BLVD",
            "address_2": "SUITE 115",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965818",
            "telephone_number": "770-622-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 SATELLITE BLVD",
            "address_2": "SUITE 115",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965818",
            "telephone_number": "770-622-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2017-01-29",
        "status": "A",
        "authorized_official_last_name": "HERINGTON",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-522-3635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas McKnight, DPT
• Sharon McLean
• William G McLeod, LPC, NCAC-II
• Catherine Denise McPherson, NP
• Chantel Nior McPherson
• Medical Aid Supply House Inc
• Medical Aid Supply House Inc
• Medical Software, LLC
• Medical Treatment Centers of America, Inc
• Sherwina L Medina

• Dental Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; 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.