Organization Active NPI

Suittdmd LLC

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1407420060
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUITTDMD LLC
Practice address
650 Ponce de Leon Ave NE Ste 600B
Atlanta, GA 30308-1856
Phone
(404) 874-0800
Fax
(404) 875-1427
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Thomas P. Suitt, DN014696NPI 1760897490
Title
Owner
Phone
(404) 874-0800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

650 Ponce de Leon Ave NE Ste 600B
Atlanta, GA 30308-1856

Mailing address

650 Ponce de Leon Ave NE Ste 600B
Atlanta, GA 30308-1856
Phone (404) 874-0800

Other names 1

  • MIDTOWN DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1407420060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PONCE DE LEON AVE NE STE 600B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081856",
            "telephone_number": "404-874-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PONCE DE LEON AVE NE STE 600B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081856",
            "telephone_number": "404-874-0800",
            "fax_number": "404-875-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUITTDMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "SUITT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-874-0800",
        "authorized_official_credential": "DN014696"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDTOWN DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.