Loganville Dentist Office, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LOGANVILLE DENTIST OFFICE, PC

Doing business as

Loganville Dentist Office

Practice address

4799 Atlanta Hwy
Suite 520
Loganville, GA 30052-7307

Phone

(404) 720-6097

Fax

(404) 609-2675

NPI assigned

Aug 5, 2016

Last updated

Aug 5, 2016By 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. Katie L McCann, DDS

Title

Owner

Phone

(404) 720-6097

Specialties & licenses 1

Addresses

Other names 1

• Loganville Dentist Office Doing business as

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1336693506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4799 ATLANTA HWY",
            "address_2": "SUITE 520",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527307",
            "telephone_number": "404-720-6097",
            "fax_number": "404-609-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGANVILLE DENTIST OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-720-6097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loganville Dentist Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Harrell Littrell, APRN
• Local Dental Partners, LLC (Walton Center for Family Dentistry)
• Cheryl Lockett, PHD
• Loganville Community Ministry Village, Inc.
• Loganville Dental Associates
• Loganville Eyecare, PC
• Loganville Family Dentistry
• Loganville Foot and Ankle
• Loganville Foot and Ankle Medicine LLC
• Loganville Pediatrics & Adolescent Care Associates

• General Practice Dentistry in Loganville, GA
• Providers in Loganville, 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 5, 2016; 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.