PD Ortho LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PD ORTHO LLC

Practice address

10930 Crabapple Rd Ste 106
Roswell, GA 30075-5825

Phone

(770) 651-1000

NPI assigned

Jan 5, 2018

Organization subpart

Yes

Parent organization

PEDIATRIC DENTISTRY AND ORTHODONTICS PCAs reported in NPPES

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

Authorized official

Name

Katina Satterfield

Title

Regional Manager

Phone

(770) 651-1000

Specialties & licenses 1

Addresses

Part of

Norcross Pediatric Dentistry

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1407363963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 W CROSSVILLE RD STE 203",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757517",
            "telephone_number": "770-651-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 CRABAPPLE RD STE 106",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755825",
            "telephone_number": "770-651-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PD ORTHO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC DENTISTRY AND ORTHODONTICS PC",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "SATTERFIELD",
        "authorized_official_first_name": "KATINA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "770-651-1000"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Roswell, GA
• Providers in Roswell, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.