My Emergency Dental Ga LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MY EMERGENCY DENTAL GA LLC

Practice address

4811 Lower Roswell Rd Ste 108
Marietta, GA 30068-4345

Phone

(470) 523-8118

NPI assigned

Nov 2, 2020

Organization subpart

Yes

Parent organization

MY EMERGENCY DENTAL, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Jennifer Burke, DMDNPI 1073013348

Title

Owner

Phone

(470) 523-8118

Specialties & licenses 1

Addresses

Practitioners 3

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

• Jennifer Leigh Burke, DMD

  • Dentist
  • Marietta, GA
  • NPI 1073013348
  NPD Authorized official
• Suhasini Arun, DMD

  • Dentist
  • Marietta, GA
  • NPI 1942724067
  NPD
• Seonghyeon Kim, DDS

  • Dentist
  • Marietta, GA
  • NPI 1588338008
  NPD

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1427659028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 LOWER ROSWELL RD STE 108",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684345",
            "telephone_number": "470-523-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 LOWER ROSWELL RD STE 108",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684345",
            "telephone_number": "470-523-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY EMERGENCY DENTAL GA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY EMERGENCY DENTAL, LLC",
        "enumeration_date": "2020-11-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-523-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pule Mwenya, NP
• My Associates,LLC
• My Chronic Care Management
• My Chronic Care Management LLC
• My East Cobb Dentist, PC
• My Medical Transporter
• Caleb Joshua Myers, LPC
• Lavinia Dowling Myers, LPC
• Morgan Elizabeth Myers, DO
• Jaida Anecia Myles, AUD

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, 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 May 26, 2021; 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.