Speciality Dental Services of Georgia

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SPECIALITY DENTAL SERVICES OF GEORGIA

Practice address

2758 Lost Lakes Dr.
Powder Springs, GA 30127-0000

Phone

(866) 275-2767

Fax

(678) 324-4413

NPI assigned

Feb 27, 2012

Last updated

Feb 27, 2012By 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. Richard B. Lipsoky, D.M.D.

Title

Owner

Phone

(866) 275-2767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1326312109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270000",
            "telephone_number": "866-275-2767",
            "fax_number": "678-324-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 LOST LAKES DR.",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270000",
            "telephone_number": "866-275-2767",
            "fax_number": "678-324-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALITY DENTAL SERVICES OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "LIPSOKY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-275-2767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hawa Sissoko
• Janet Campbell Smith, MN MPH
• Matthew Smith
• Sophroneo Psychiatry, P.C.
• Mariesha Danika Spears
• Tamika Spiess
• Cheeritza St. Germain, LMSW
• Barry Carter Stacey, D.M.D.
• Lisa Langley Stacy, PT
• Leighton McKenzie Staggs

• Dentist in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.