Organization Active NPI

Georgia Implants and Dentures LLC

  • Dental Clinic/Center
  • Cumming, GA
National Provider Identifier
1417733643
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GEORGIA IMPLANTS AND DENTURES LLC
Practice address
918 Market Place Blvd
Cumming, GA 30041-7920
Phone
(847) 308-4295
NPI assigned
Sep 4, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nick Rains
Title
Business Manager
Phone
(847) 308-4295

National Provider Directory

National Provider Directory

Locations

918 Market Place Blvd
Cumming, GA 30041
Phone (470) 695-3071

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

918 Market Place Blvd
Cumming, GA 30041-7920

Mailing address

498 Swan Ridge Cir E
Memphis, TN 38122-4658
Phone (847) 308-4295

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2023.

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1417733643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 SWAN RIDGE CIR E",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224658",
            "telephone_number": "847-308-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 MARKET PLACE BLVD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417920",
            "telephone_number": "847-308-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA IMPLANTS AND DENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "RAINS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "847-308-4295"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.