Timothy N. Byrd, DMD & Associates of Douglasville, PC

Primary specialty

DentistTaxonomy code 122300000X

License

012070 Issued in GA

Legal business name

TIMOTHY N. BYRD, DMD & ASSOCIATES OF DOUGLASVILLE, PC

Practice address

6040 Douglas Blvd
Suite a
Douglasville, GA 30135

Phone

(770) 949-5600

Fax

(770) 949-5055

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy N. Byrd, D.M.D.

Title

President

Phone

(770) 949-5600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1295914364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 DOUGLAS BOULEVARD",
            "address_2": "SUITE A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "770-949-5600",
            "fax_number": "770-949-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 DOUGLAS BLVD",
            "address_2": "SUITE A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "770-949-5600",
            "fax_number": "770-949-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY N. BYRD, DMD & ASSOCIATES OF DOUGLASVILLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-949-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "012070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Douglasville, GA
• Providers in Douglasville, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.