The Pacific Coast Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN014228 Issued in GA

Legal business name

THE PACIFIC COAST GROUP

Doing business as

Dove Dental Specialists

Practice address

2883 North Decatur Rd.
Suite F
Decatur, GA 30033

Phone

(404) 299-7411

Fax

(404) 299-5466

NPI assigned

Aug 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Amy Mathew, DMDNPI 1154573798

Title

Owner

Phone

(404) 299-7411

Specialties & licenses 1

Addresses

Other names 1

• Dove Dental Specialists Doing business as

Locations

Practitioners 2

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

• Amy Mathew, DMD

  • Dentist
  • Decatur, GA
  • NPI 1154573798
  NPD (past) Authorized official
• Oletha Doss Simmons, DDS

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1285711820
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1376929984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 NORTH DECATUR RD.",
            "address_2": "SUITE F",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "404-299-7411",
            "fax_number": "404-299-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 NORTH DECATUR RD.",
            "address_2": "SUITE F",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "404-299-7411",
            "fax_number": "404-299-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PACIFIC COAST GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-299-7411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN014228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• The Maines Group, LLC (Maines Health and Wellness)
• The Peaceful Place, LLC
• The Primary Care Center, PC
• The Savannah Clinic for Hypermobility Disorders LLC (The Savannah Clinic)
• The Smart Place
• The Sole Circle Foundation

• Dental Clinic/Center in Decatur, GA
• Providers in Decatur, 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 Aug 5, 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.