VBDC of Woodstock, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VBDC OF WOODSTOCK, LLC

Doing business as

Value Dental Center

Practice address

5909 Peachtree Dunwoody Rd Ste 800
Atlanta, GA 30328-8103

Phone

(478) 733-0857

Fax

(478) 254-5709

NPI assigned

Dec 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Paul Jason Mann, DMD

Title

Owner

Phone

(478) 733-0857

Specialties & licenses 1

Addresses

Other names 1

• Value Dental Center Doing business as

Locations

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1316419666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MACON ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312106562",
            "telephone_number": "478-733-0857",
            "fax_number": "478-254-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 PEACHTREE DUNWOODY RD STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303288103",
            "telephone_number": "478-733-0857",
            "fax_number": "478-254-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VBDC OF WOODSTOCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-733-0857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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": "Value Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andres Vazquez, CAA
• Cinthya Vazquez, M.S
• John Vazquez, M.D.
• Kimberly Crystle Vazquez, O.D.
• Valeria Vazquez
• VCP 2 Atlanta PC
• VCP Atlanta, LLC
• VDS Surgical Assistants, Inc.
• Brian David Veal, DC
• Detavius Veal

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, 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 Dec 27, 2018; 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.