KS Gasm, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012562 Issued in GA

Legal business name

KS GASM, PC

Practice address

5158 Memorial Dr
Stone Mountain, GA 30083-3111

Phone

(770) 916-9000

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tu Tran, DDS

Title

Owner

Phone

(404) 229-6943

Specialties & licenses 1

Addresses

Other names 1

• Kool Smiles, PC Doing business as

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295949659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GALLERIA PKWY SE STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395934",
            "telephone_number": "770-916-5028",
            "fax_number": "678-302-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5158 MEMORIAL DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833111",
            "telephone_number": "770-916-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS GASM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-229-6943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kool Smiles, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ksyrx
• Afua Amoah Kubiti, DSW, LMSW
• Soraia Kunihiro, PTA
• L G D Psychological Services, LLC
• Kathalina Vershelle Lacoste, NP

• General Practice Dentistry in Stone Mountain, GA
• Providers in Stone Mountain, 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 Aug 22, 2020; 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.