Gadentalgrp, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GADENTALGRP, LLC

Practice address

2018 Montreal Rd
Tucker, GA 30084-5203

Phone

(770) 939-5122

NPI assigned

Feb 11, 2020

Last updated

Feb 11, 2020By 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. Jigar Desai, DDS

Title

Owner

Phone

(770) 401-4190

Specialties & licenses 1

Addresses

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.

• Jigar Ashok Desai

  • General Practice Dentistry
  • Lilburn, GA
  • NPI 1912349994
  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1336771948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 PINE COVE DR",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471401",
            "telephone_number": "770-401-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845203",
            "telephone_number": "770-939-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADENTALGRP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "JIGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-401-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terence Andrew Frinks, M.D.
• Frontier Marketing of Georgia, Inc (National Medical Supplies)
• Maggie Frost, PMHNP-BC
• Functional Mobility Services LLC
• Ga Doctors of Optometry LLC
• Emily Gage
• Farhat A Garana
• Natasha Rain Garland, APC
• Kenisha Lashun Garrett
• Gary L Heller, DDS, PC

• Dental Clinic/Center in Tucker, GA
• Providers in Tucker, 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 Feb 11, 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.