Imagix Dental of Suwanee LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IMAGIX DENTAL OF SUWANEE LLC

Practice address

350 Town Center Ave Ste 301
Suwanee, GA 30024-6914

Phone

(678) 835-0793

Fax

(678) 546-7932

NPI assigned

Sep 14, 2015

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

VP Insurance Plan Management

Phone

(727) 726-1611

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farah S Khan, DMD

  • General Practice Dentistry
  • Suwanee, GA
  • NPI 1871647040
  NPD (past)
• Joshua Baruch Levenson, DDS

  • Dentist
  • Suwanee, GA
  • NPI 1306027685
  NPD (past)
• Robert Pearson

  • Periodontics
  • Suwanee, GA
  • NPI 1699810424
  NPD (past)
• Shrenik Shah, DMD

  • Pediatric Dentistry
  • Suwanee, GA
  • NPI 1295048163
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1417325952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 TOWN CENTER AVE STE 301",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246914",
            "telephone_number": "678-835-0793",
            "fax_number": "678-546-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TOWN CENTER AVE STE 301",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246914",
            "telephone_number": "678-835-0793",
            "fax_number": "678-546-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGIX DENTAL OF SUWANEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber J Illum, LPC
• Tanya Iluyomade, OT
• Imaging Guru, LLC (Millennium Imaging Services)
• Imagix 3 Dental
• Imagix Dental of Johns Creek LLC
• Syed A Imam, M.D.
• Immaculate Healthcare Solutions, LLC
• Incaremd
• Independent Physical Therapy of Ga, LLC
• Independent Physical Therapy of Ga, LLC (BenchMark PT - McGinnis Ferry)

• Dentist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.