A Dental Home 4 Kidz

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

A DENTAL HOME 4 KIDZ

Practice address

155 Carnegie PL Ste 201
Fayetteville, GA 30214-3981

Phone

(770) 871-5158

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 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

Lona Bibbs, DDSNPI 1770506099

Title

Partner

Phone

(770) 871-5158

Specialties & licenses 1

Addresses

Locations

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.

• Lona Demetria Bibbs, DDS

  • Pediatric Dentistry
  • Newnan, GA
  • NPI 1770506099
  NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1366060618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CARNEGIE PL STE 201",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143981",
            "telephone_number": "770-871-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CARNEGIE PL STE 201",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143981",
            "telephone_number": "770-871-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DENTAL HOME 4 KIDZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "BIBBS",
        "authorized_official_first_name": "LONA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-871-5158",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1St Choice Ambulance Service, LLC
• 360 Client Solutions & Professional Services, LLC
• A Chance to Smile, LLC
• A Christian Place Counseling
• A Cut Above Surgical Assisting, LLC
• A Kids World Pediatrics
• A New Beginning for Families Inc
• A New Creation Psychotherapy Services, LLC
• A New Start Counseling Center Inc
• A Plus Optique

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.