Atlanta Emergency Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8962 Issued in GA

Legal business name

ATLANTA EMERGENCY DENTAL CENTER

Practice address

4060 Lavista Rd
Tucker, GA 30084-5216

Phone

(770) 934-0770

Fax

(770) 934-3063

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Leon Grayland Pye, D.M.D.

Title

President

Phone

(770) 934-0770

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1447480652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845216",
            "telephone_number": "770-934-0770",
            "fax_number": "770-934-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845216",
            "telephone_number": "770-934-0770",
            "fax_number": "770-934-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA EMERGENCY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "PYE",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "GRAYLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-934-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00172235F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlanta Back Clinic - Orthopedic Phys Therapy & Training Ctr Inc
• Atlanta Cardiology and Primary Care PC
• Atlanta Cardiology Primary Care PC
• Atlanta Clinical Research Center
• Atlanta Dermatology & Surgery P.a.
• Atlanta Emergency Dental PC
• Atlanta GYN Center
• Atlanta Health Center PC
• Atlanta Heart Specialists LLC
• Atlanta Kidney Care LLC

• General Practice Dentistry in Tucker, GA
• Providers in Tucker, 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 Jul 22, 2009; 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.