South Dekalb Dental Center LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

SOUTH DEKALB DENTAL CENTER LLC

Practice address

2853 Candler Rd
Suite 101
Decatur, GA 30034-1433

Phone

(404) 244-1166

Fax

(404) 244-1191

NPI assigned

Jan 12, 2007

Last updated

Aug 22, 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

William Andrew Litton

Title

Vice President

Phone

(678) 879-1177

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Donald Jerome Campbell, DDS

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1316099005
  NPD (past)
• George Francis Policastro Jr., DDS

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1982756672
  NPD (past)
• Zainab Ansar Raja, RDH

  • Dental Hygienist
  • Decatur, GA
  • NPI 1275456824
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386795805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 CANDLER RD",
            "address_2": "SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341433",
            "telephone_number": "404-244-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 CANDLER RD",
            "address_2": "SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341433",
            "telephone_number": "404-244-1166",
            "fax_number": "404-244-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DEKALB DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "678-879-1177"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Elizabeth Sones, NP-C
• Jun H Song, MD
• Sool Group Enterprise LLLP
• Athena H Sotus-Nawar, M.D.
• South Central Community and Social Services LLC
• South Dekalb Family Physicians, LLC
• South Dekalb Pediatrics, P.C.
• South Dekalb Primary Care, PC
• South Dekalb Spinal Center, LLC
• Ashley Michelle South, OTR/L

• Point of Service in Decatur, GA
• Providers in Decatur, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.