Northlake Dental Partners

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHLAKE DENTAL PARTNERS

Practice address

2300 Henderson Mill Rd NE
Suite 401
Atlanta, GA 30345-2745

Phone

(770) 938-3277

Fax

(770) 934-1240

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jann K Wilson

Title

Office Manager

Phone

(770) 938-3277

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.

• Robert M Gray, DMD

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1043371412
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336250406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HENDERSON MILL RD NE",
            "address_2": "SUITE 401",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452745",
            "telephone_number": "770-938-3277",
            "fax_number": "770-934-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HENDERSON MILL RD NE",
            "address_2": "SUITE 401",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452745",
            "telephone_number": "770-938-3277",
            "fax_number": "770-934-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE DENTAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JANN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-938-3277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Health Center
• Northern Crescent Endoscopy Suite, LLC
• Northern Georgia Anesthesia Associates, LLC
• Gina Michelle Northington, MD
• Northlake Anesthesia Professionals, LLC
• Northlake Eyecare Associates, LLC
• Northlake Medical & Wellness Center
• Northland Hearing Centers, Inc (NuEar Hearing Center)
• Northland Medical LLC (Atlanta Ketamine Center)
• Northside Acupuncture

• 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 Aug 22, 2020; 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.