NPIMap

Organization Active NPI

Suwanee Family Dentistry, LLC

  • General Practice Dentistry
  • Suwanee, GA
National Provider Identifier
1407864291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12347 Issued in GA
Legal business name
SUWANEE FAMILY DENTISTRY, LLC
Practice address
2566 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-2537
Phone
(678) 714-2380
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tina Heil, D.M.D.
Title
Owner
Phone
(678) 714-2380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12347 GA Primary

Addresses

Primary practice location

2566 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-2537

Mailing address

2566 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-2537
Phone (678) 714-2380

National Provider Directory

National Provider Directory

Locations

2566 Lawrenceville Suwanee Rd
Ste A
Suwanee, GA 30024
Phone (678) 714-2380

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407864291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242537",
            "telephone_number": "678-714-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242537",
            "telephone_number": "678-714-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUWANEE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIL",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-714-2380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "12347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.