Dentalhome

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015273 Issued in GA

Legal business name

DENTALHOME

Practice address

119 Pottery Factory Dr
Commerce, GA 30529-6679

Phone

(706) 336-8318

Fax

(706) 336-8315

NPI assigned

Dec 9, 2016

Last updated

Dec 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chen Chen, DDS

Title

Doctor/Dentist

Phone

(706) 336-8318

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1316481302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 POTTERY FACTORY DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305296679",
            "telephone_number": "706-336-8318",
            "fax_number": "706-336-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 POTTERY FACTORY DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305296679",
            "telephone_number": "706-336-8318",
            "fax_number": "706-336-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALHOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHEN",
        "authorized_official_title_or_position": "DOCTOR/DENTIST",
        "authorized_official_telephone_number": "706-336-8318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003180250A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Himanshu Haridutt Desai, RPH
• Dima Care, Inc (Commerce Urgent Care & Family Practice)
• Dima Health Management, Inc (Commerce Urgent Care & Family Practice)
• Claire Mameli Dipalma, PA-C

• General Practice Dentistry in Commerce, GA
• Providers in Commerce, 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 9, 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.