Stockbridge Dental LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

010866 Issued in GA

Legal business name

STOCKBRIDGE DENTAL LLC

Practice address

150 Country Club Dr
Suite 201
Stockbridge, GA 30281-9089

Phone

(770) 389-1980

Fax

(770) 389-5128

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rima B Patel, D.M.D.

Title

Dentist

Phone

(770) 389-1980

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Thomas R Felcher, D.D.S.

  • Prosthodontics
  • Stockbridge, GA
  • NPI 1780774729
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1407195142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 COUNTRY CLUB DR",
            "address_2": "SUITE 201",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819089",
            "telephone_number": "770-389-1980",
            "fax_number": "770-389-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COUNTRY CLUB DR",
            "address_2": "SUITE 201",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819089",
            "telephone_number": "770-389-1980",
            "fax_number": "770-389-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKBRIDGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RIMA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-389-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "010866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derex L Stewart, MD
• Jamari Stewart
• Susan Ann Stewart, LPC
• Briana Stith, PA-C
• Stockbridge Dental Group
• Stockbridge Dental Smiles 2 LLC
• Stockbridge Dental Smiles LLC
• Stockbridge Dialysis Clinic, LLC
• Stockbridge Family Care Center
• Stockbridge Family Dental Group PC

• Prosthodontics in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Prosthodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.