Justin T Echols, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN014237 Issued in GA

Practice address

1678 Mulkey Rd Ste D
Austell, GA 30106-1147

Phone

(770) 692-1000

NPI assigned

Jun 12, 2009

Last updated

Sep 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Dental Center, PC

  • Pediatric Dentistry
  • Cartersville, GA
  • NPI 1215005376
  NPD (past)
• Children's Dental Center, PC

  dba Children's Dental Center, PC of Rome

  • Pediatric Dentistry
  • Rome, GA
  • NPI 1427428085

  General Practice

  NPD (past)
• Children's Dental Center, PC

  dba Children's Dental Center, PC:Sedation and Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Cartersville, GA
  • NPI 1871963447

  Pediatric Dentistry

  NPD (past)
• Children's Dental Ctr at Brookstone

  • Pediatric Dentistry
  • Acworth, GA
  • NPI 1013117878
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1386871747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 LINDBERGH PL NE APT 722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243343",
            "telephone_number": "404-996-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 MULKEY RD STE D",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061147",
            "telephone_number": "770-692-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLS",
        "first_name": "JUSTIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014237",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN014237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003116346E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Dunbar, LCSW
• Christina Huynh Duron, PHARMD
• Julia Dyer
• Caitlyn Rose Dziuba
• East West Surgery Center LP
• Alexaundrea Edwards, RN
• Erica Judge Edwards, M.D.
• Heather L Edwards, NP
• Nichole Sabrina Edwards, MSPT
• Zeinep Naz Efe, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.