Dentistry at Hickory Flat PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTRY AT HICKORY FLAT PC

Doing business as

Dentistry at Hickory Flat

Practice address

6199 Hickory Flat Hwy Ste 130
Canton, GA 30115-7255

Phone

(770) 213-8166

Fax

(770) 213-8157

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Brian Y Lee, D.D.S.

Title

Dentist/Owner

Phone

(770) 213-8166

Specialties & licenses 3

Addresses

Other names 1

• DENTISTRY AT HICKORY FLAT Doing business as

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1437573748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6199 HICKORY FLAT HWY STE 130",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157255",
            "telephone_number": "770-213-8166",
            "fax_number": "770-213-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6199 HICKORY FLAT HWY STE 130",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157255",
            "telephone_number": "770-213-8166",
            "fax_number": "770-213-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY AT HICKORY FLAT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "770-213-8166",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013420",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTISTRY AT HICKORY FLAT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Lynn Denner, PHARM.D.
• Melissa J Denning, M.S. CCC-SLP
• Christina Maria Dennis, MD
• Maya Dennis
• Dental Town Emergency Services LLC
• Mary Leigh Denton Sr., L.C.S.W.
• Aashish Kiran Desai, M.D.
• Kingel N Desai, PA-C
• Vincent Albert Destasio Jr., RPH
• Katherine Dewey

• General Practice Dentistry in Canton, GA
• Providers in Canton, 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 18, 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.