Active NPI
Patrick Nettles French, D.M.D.
- General Practice Dentistry
- Snellville, GA
National Provider Identifier
1376750042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012578
- Practice address
- 2176 Oak Road
Suite a
Snellville, GA 30078 - Phone
- (770) 985-9559
- Fax
- (770) 972-0847
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012578 | GA | Primary |
Addresses
Primary practice location
2176 Oak Road
Suite a
Snellville, GA 30078
Mailing address
10182 Azalea Drive
Covington, GA 30014
Phone (770) 788-0443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202659497 | Other | GA | TAX ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012578 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Road Dentistry LLC | General Practice | Current | Accepting new patients |
| Oak Road Dentistry | Past | Accepting new patients |
Locations
2176 Oak Rd
Ste A
Snellville, GA 30078
Phone (770) 985-9559
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Snellville, GA
- NPI 1063308369
-
- Dentist
- Snellville, GA
- NPI 1558541763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376750042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10182 AZALEA DRIVE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "30014",
"telephone_number": "770-788-0443",
"fax_number": "770-972-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2176 OAK ROAD",
"address_2": "SUITE A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "30078",
"telephone_number": "770-985-9559",
"fax_number": "770-972-0847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRENCH",
"first_name": "PATRICK",
"middle_name": "NETTLES",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "202659497",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.