Family Dental Centers of Marietta, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011401 Issued in GA

Legal business name

FAMILY DENTAL CENTERS OF MARIETTA, P.C.

Doing business as

Family Dental Solutions

Practice address

683 Piedmont Rd NE
Marietta, GA 30066-4811

Phone

(770) 794-0808

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Hetesh Madev Ranchod, DDSNPI 1477608362

Title

President

Phone

(770) 794-0808

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Family Dental Solutions Doing business as

Practitioners 2

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.

• Hetesh Madev Ranchod, DDS

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1477608362
  NPD (past) Authorized official
• Raquel D Billingslea, FNP

  • Family Nurse Practitioner
  • Marietta, GA
  • NPI 1548925969
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1396864237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 PIEDMONT RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664811",
            "telephone_number": "770-794-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 PIEDMONT RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664811",
            "telephone_number": "770-794-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2769 Chastain Meadows Pkwy",
            "address_2": "Suite #70",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300663369",
            "country_code": "US",
            "telephone_number": "770-794-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY DENTAL CENTERS OF MARIETTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "RANCHOD",
        "authorized_official_first_name": "HETESH",
        "authorized_official_middle_name": "MADEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-794-0808",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100696",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000683229B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107742",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shavon Falcon, DC
• Hallie Jaye Faley
• Warren Falo, MD
• Family Care Facility Network Inc.
• Family Chiropractic Office
• Family Dentistry of Marietta, LLC
• Family Direct Healthcare Services Inc
• Family First Vision Care Georgia
• Family Hearing and Speech Center of West Cobb, Inc. (Hearing Solutions)
• Family Home Care, LLC

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.