Johns Creek Dental Excellence, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

11015 Issued in GA

Legal business name

JOHNS CREEK DENTAL EXCELLENCE, P.C.

Practice address

9925 Haynes Bridge Rd
#700
Johns Creek, GA 30022-8532

Phone

(770) 663-0333

Fax

(678) 205-0241

NPI assigned

Jun 19, 2009

Last updated

Jun 19, 2009By 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. Mehrdod A Parsa, D.M.D.NPI 1598826190

Title

Owner

Phone

(770) 663-0333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mehrdod Arya Parsa, DMD

  • Dentist
  • Alpharetta, GA
  • NPI 1598826190
  NPD (past) Authorized official

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1326275173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 HAYNES BRIDGE RD",
            "address_2": "#700",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228532",
            "telephone_number": "770-663-0333",
            "fax_number": "678-205-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 HAYNES BRIDGE RD",
            "address_2": "#700",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228532",
            "telephone_number": "770-663-0333",
            "fax_number": "678-205-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS CREEK DENTAL EXCELLENCE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "PARSA",
        "authorized_official_first_name": "MEHRDOD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-663-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "11015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JHL Imaging Services LLC
• Lanlan Jiang
• Nida Suleman Jiwani, DO
• JL Health Center LLC (Active Care Atlanta)
• Johns Creek Center for Pain and Spine
• Johns Creek Dentistry, P.C.
• Johns Creek Dermatology and Family Medicine, P.C.
• Johns Creek House Call Providers LLC
• Johns Creek Neonatology
• Kendra Johnson-Cummings

• Dental Clinic/Center in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.