Premier Dental Care of Buckhead, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PREMIER DENTAL CARE OF BUCKHEAD, LLC

Practice address

3580 Piedmont Rd NE Ste 113
Atlanta, GA 30305-1506

Phone

(404) 266-0111

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By 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. Trent Michael Collett, DMDNPI 1083119770

Title

Member

Phone

(404) 266-0111

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Trent Michael Collett, DMD

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1083119770
  NPD Authorized official
• Lewis L Brown, D.D.S.

  • Dentist
  • Atlanta, GA
  • NPI 1760604490
  NPD (past)

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1346016029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 PIEDMONT RD NE STE 113",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 PIEDMONT RD NE STE 113",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051506",
            "telephone_number": "404-266-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL CARE OF BUCKHEAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-266-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Care Solutions, LLC
• Premier Chronic Pain Care Inc.
• Premier Comprehensive Services LLC
• Premier Comprehensive Services, LLC
• Premier Concierge Care of Atlanta LLC
• Premier Dental Inc
• Premier Eye Physicians PC
• Premier Health and Wellness Management, LLC (Premier Health and Wellness)
• Premier Image Cosmetic & Laser Surgery
• Premier Injury Specialist

• 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 Dec 4, 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.