Icare Kids Dentistry Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ICARE KIDS DENTISTRY INC.

Practice address

1568 Indian Trail Lilburn Rd # 201
Norcross, GA 30093-2613

Phone

(770) 609-6106

Fax

(770) 573-2987

NPI assigned

Jun 13, 2014

Last updated

Jun 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Duong

Title

Office Manager

Phone

(770) 609-6106

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1427462720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 INDIAN TRAIL LILBURN RD # 201",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932613",
            "telephone_number": "770-609-6106",
            "fax_number": "770-573-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 INDIAN TRAIL LILBURN RD # 201",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932613",
            "telephone_number": "770-609-6106",
            "fax_number": "770-573-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE KIDS DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-609-6106"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luat Huynh, R.PH
• Patrick Huynh, DO
• Tong M Huynh, MD
• Vinh P Huynh, DMD
• I-Siyu, LLC
• Iclear Orthodontics and Braces North LLC (Orthodontic excellence)
• Ijb Helathcare Services, PC (Olugbemida Osoba, MD)
• Daniel Ikpechukwu, MS, ICADC
• Imagix 2 Dental
• Imagix Dental of Norcross LLC

• General Practice Dentistry in Norcross, GA
• Providers in Norcross, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.