Excellent Dental Providers, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EXCELLENT DENTAL PROVIDERS, PC

Practice address

1001 Main St Ste F
Stone Mountain, GA 30083-2922

Phone

(770) 469-1331

NPI assigned

Oct 22, 2017

Last updated

Oct 22, 2017By 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

Peter Dinh, DDSNPI 1992110456

Title

Dentist

Phone

(678) 787-7858

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.

• Peter Dinh, DDS

  • Dentist
  • Blacksburg, SC
  • NPI 1992110456
  Authorized official Same address or phone

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

{
    "created_epoch": "1508630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508630400000",
    "number": "1366953929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST STE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST STE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832922",
            "telephone_number": "770-469-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT DENTAL PROVIDERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-22",
        "last_updated": "2017-10-22",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "678-787-7858",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nneka Eto
• Akita Carrie Evans, MD
• Cleo Evans, LPC
• Daniel Bartlette Evans, DC
• Janelle Samantha Evers, LPC
• Experience Care NJ Inc (Care With Experience LLLP)
• Extended Medical Services Inc.
• Extraordinary Luxury Rides
• Lauren T Exume
• Ezer Counseling, LLC

• Dental Clinic/Center in Stone Mountain, GA
• Providers in Stone Mountain, 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 Oct 22, 2017; 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.