Organization Active NPI

Smith and Correll DDS PC

  • General Practice Dentistry
  • Decatur, GA
National Provider Identifier
1356485098
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7828 Issued in GA
Legal business name
SMITH AND CORRELL DDS PC
Practice address
5040 Snapfinger Woods Dr
Ste 203
Decatur, GA 30035
Phone
(770) 981-9700
Fax
(770) 323-6226
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Donald Robert Correll, DDSNPI 1861599425
Title
Owner
Phone
(770) 981-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7828 GA Primary

Addresses

Primary practice location

5040 Snapfinger Woods Dr
Ste 203
Decatur, GA 30035

Mailing address

5040 Snapfinger Woods Dr
Ste 203
Decatur, GA 30035
Phone (770) 981-9700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1356485098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 SNAPFINGER WOODS DR",
            "address_2": "STE 203",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "770-981-9700",
            "fax_number": "770-323-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 SNAPFINGER WOODS DR",
            "address_2": "STE 203",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "770-981-9700",
            "fax_number": "770-323-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH AND CORRELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "CORRELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-981-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.