NPIMap

Organization Active NPI

Lake Pointe Dental Inc

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1295846228
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKE POINTE DENTAL INC
Practice address
1880 W Oak Pkwy
Suite 215
Marietta, GA 30062-2272
Phone
(770) 514-0440
Fax
(770) 514-0442
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Dr. Nael Harfoush
Title
President
Phone
(770) 872-0548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1880 W Oak Pkwy
Suite 215
Marietta, GA 30062-2272

Mailing address

1880 W Oak Pkwy
Suite 215
Marietta, GA 30062-2272
Phone (770) 514-0440

Other names 1

  • LAKE POINTE DENTAL MARIETTA Other name

National Provider Directory

National Provider Directory
Tax ID family
Lake Pointe Dental Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1880 W Oak Pkwy
Ste 215
Marietta, GA 30062
Phone (404) 806-1762

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1295846228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W OAK PKWY",
            "address_2": "SUITE 215",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622272",
            "telephone_number": "770-514-0440",
            "fax_number": "770-514-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W OAK PKWY",
            "address_2": "SUITE 215",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622272",
            "telephone_number": "770-514-0440",
            "fax_number": "770-514-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE POINTE DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "HARFOUSH",
        "authorized_official_first_name": "NAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-872-0548",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE POINTE DENTAL MARIETTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 19, 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.

Verify at the official NPI Registry.