Organization Active NPI

The Teeth Doctor, LLC

  • Dentist
  • Sugar Hill, GA
National Provider Identifier
1306388475
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014193 Issued in GA
Legal business name
THE TEETH DOCTOR, LLC
Practice address
6025 Cumming Hwy
#610
Sugar Hill, GA 30518-5726
Phone
(678) 482-5170
Fax
(678) 804-6844
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Dr. Galang Thi Vu, DMDNPI 1689975419
Title
Managing Member
Phone
(678) 482-5170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN014193 GA Primary

Addresses

Primary practice location

6025 Cumming Hwy
#610
Sugar Hill, GA 30518-5726

Mailing address

6025 Cumming Hwy
#610
Sugar Hill, GA 30518-5726
Phone (678) 482-5170

National Provider Directory

National Provider Directory

Locations

6025 Cumming Hwy
#610
Sugar Hill, GA 30518
Phone (678) 482-5170

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1306388475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 CUMMING HWY",
            "address_2": "#610",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305185726",
            "telephone_number": "678-482-5170",
            "fax_number": "678-804-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 CUMMING HWY",
            "address_2": "#610",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305185726",
            "telephone_number": "678-482-5170",
            "fax_number": "678-804-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TEETH DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "GALANG",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "678-482-5170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.