NPIMap

Organization Active NPI

Morrow Dental Center, LLC

  • Dentist
  • Morrow, GA
National Provider Identifier
1396939427
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011920 Issued in GA
Legal business name
MORROW DENTAL CENTER, LLC
Practice address
6452 S Lee St
Suite 7
Morrow, GA 30260-1771
Phone
(678) 422-6500
Fax
(678) 422-6588
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. CHI Truc Huynh, DDSNPI 1114963469
Title
Dentist
Phone
(678) 422-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 011920 GA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 011936 GA

Addresses

Primary practice location

6452 S Lee St
Suite 7
Morrow, GA 30260-1771

Mailing address

6452 S Lee St
Suite 7
Morrow, GA 30260-1771
Phone (678) 422-6500

Other identifiers 2

IdentifierTypeStateIssuer
00811159BMedicaidGA
00810961AMedicaidGA

National Provider Directory

National Provider Directory

Locations

6452 S Lee St
Ste 7
Morrow, GA 30260
Phone (678) 422-6500

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1396939427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 S LEE ST",
            "address_2": "SUITE 7",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601771",
            "telephone_number": "678-422-6500",
            "fax_number": "678-422-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6452 S LEE ST",
            "address_2": "SUITE 7",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601771",
            "telephone_number": "678-422-6500",
            "fax_number": "678-422-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORROW DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "TRUC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "678-422-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "011920",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "011936",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00811159B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00810961A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.