Organization Active NPI

Smile Center of Dalton LLC

  • Dentist
  • Dalton, GA
National Provider Identifier
1417260670
Registry record updated Jul 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN008003 Issued in GA
Legal business name
SMILE CENTER OF DALTON LLC
Practice address
328 Northgate Dr
Dalton, GA 30721-8680
Phone
(706) 279-1802
Fax
(706) 279-1803
NPI assigned
Jul 16, 2010
Last updated
Jul 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2010

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

Authorized official

Name
Dr. Jim Franklin Cole, D.D.S.NPI 1831308501
Title
Co-Owner
Phone
(404) 513-1573

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
Dentist 122300000X DN008003 GA Primary

Addresses

Primary practice location

328 Northgate Dr
Dalton, GA 30721-8680

Mailing address

510 S Keeler Woods Dr NW
Marietta, GA 30064-2027
Phone (404) 513-1573

Other identifiers 1

IdentifierTypeStateIssuer
590023714AMedicaidGA

National Provider Directory

National Provider Directory

Locations

328 Northgate Dr
Dalton, GA 30721
Phone (706) 279-1802

Practitioners & affiliated clinicians

Practitioners 1

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": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279411200000",
    "number": "1417260670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S KEELER WOODS DR NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642027",
            "telephone_number": "404-513-1573",
            "fax_number": "770-452-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 NORTHGATE DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218680",
            "telephone_number": "706-279-1802",
            "fax_number": "706-279-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER OF DALTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-18",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "404-513-1573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN008003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590023714A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2010; 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.