Organization Active NPI

Vason Dental, LLC

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1407565450
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VASON DENTAL, LLC
Practice address
3193 Howell Mill Rd NW Ste 202
Atlanta, GA 30327-2100
Phone
(404) 367-9799
NPI assigned
Nov 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Dr. Carlisle Hamilton Vason, DMDNPI 1881248763
Title
Owner/Dentist
Phone
(404) 216-0647

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW Ste 202
Atlanta, GA 30327-2100

Mailing address

1505 Gilstrap LN NW
Atlanta, GA 30318-2775
Phone (404) 216-0647

Other names 1

  • Vason Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3193 Howell Mill Rd NW
Ste 202
Atlanta, GA 30327
Phone (404) 216-0647

Practitioners & affiliated clinicians

Practitioners 1

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": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1407565450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 GILSTRAP LN NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182775",
            "telephone_number": "404-216-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272100",
            "telephone_number": "404-367-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASON DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "VASON",
        "authorized_official_first_name": "CARLISLE",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "404-216-0647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vason Family Dentistry",
            "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 Nov 18, 2022; 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.