Daniela Oliveira Lemoine, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015675 Issued in GA

Practice address

1401 Johnson Ferry Rd Ste 164
Marietta, GA 30062-6499

Phone

(470) 795-6677

Fax

(470) 795-6678

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sea of Pearls Dentistry LLC

  dba Sea of Pearls Dental Boutique

  • Dental Clinic/Center
  • Marietta, GA
  • NPI 1689395337
  NPD Authorized official
• Allen J. Blass, D.D.S.

  • Dentist
  • Atlanta, GA
  • NPI 1851500292
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1336632454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JOHNSON FERRY RD STE 164",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626499",
            "telephone_number": "470-795-6677",
            "fax_number": "470-795-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSON FERRY RD STE 164",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626499",
            "telephone_number": "470-795-6677",
            "fax_number": "470-795-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "DANIELA",
        "middle_name": "OLIVEIRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Louis Leingang III, D.D.S.
• Dona Ann Leith, LPC
• Brian Keith Leland, P.A.
• Breyana Lemaster, RBT
• Lemis Healthcare Services
• Leona R. Lenaz, CFNP
• Wendy Esther Lenhard
• Eva Silvey Leonard, PAA
• Indya Amia Leonard, RPH
• Kalliah Sierra Leonard, RBT

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, 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 Jan 27, 2023; 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.