East Cobb Dentistry for Kids

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DNO13148 Issued in GA

Legal business name

EAST COBB DENTISTRY FOR KIDS

Practice address

2880 Johnson Ferry Rd
Marietta, GA 30062-8368

Phone

(678) 813-2388

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nelson K Allen, D.D.S.

Title

Pediatric Dentistry

Phone

(678) 813-2388

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1346652062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628368",
            "telephone_number": "678-813-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628368",
            "telephone_number": "678-813-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COBB DENTISTRY FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PEDIATRIC DENTISTRY",
        "authorized_official_telephone_number": "678-813-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DNO13148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896892351AB",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin S Early, MD
• Earshot Audiology, LLC
• Justin Todd Eason
• East Cobb Cardiology, LLC
• East Cobb Center for Nursing and Healing LLC
• East Cobb Family Dentistry
• East Cobb Family Dentistry, P.C.
• East Cobb Foot & Ankle Care P.C.
• East Cobb Hand Therapy LLC
• East Cobb Health

• Pediatric Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.