Bespoke Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BESPOKE DENTAL LLC

Practice address

2201 Newnan Crossing Blvd E Ste 202
Newnan, GA 30265-2551

Phone

(678) 552-4904

Fax

(678) 552-4905

NPI assigned

May 16, 2024

Last updated

May 16, 2024By 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

Cindy Rask, DMDNPI 1831755156

Title

Owner

Phone

(678) 552-4904

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.

• Cindy Rask, DMD

  • General Practice Dentistry
  • Carrollton, GA
  • NPI 1831755156
  NPD Authorized official

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1326897802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NEWNAN CROSSING BLVD E STE 202",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652551",
            "telephone_number": "678-552-4904",
            "fax_number": "678-552-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NEWNAN CROSSING BLVD E STE 202",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652551",
            "telephone_number": "678-552-4904",
            "fax_number": "678-552-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "RASK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-552-4904",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Berger, PA-AA
• Jay Steven Berger, MD
• Emma Karinn Bergholt
• Eric Rosario Bernabe, R.P.T.
• Gary Leonard Bernstein, M.D.
• Better Days Recreation Therapy
• Better Health Anesthesia Group
• BFG Newnan Propco, LLC (Westhill Newnan Crossing)
• Komal Bhat, DDS
• Akshay Bhatnagar, MD

• Dental Clinic/Center in Newnan, GA
• Providers in Newnan, 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 May 16, 2024; 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.