NPIMap

Organization Active NPI

Laura C Davis DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lawrenceville, GA
National Provider Identifier
1457407405
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN011238 Issued in GA
Legal business name
LAURA C DAVIS DDS
Practice address
875 Lawrenceville Suwanee Rd
Suite 410
Lawrenceville, GA 30043-8479
Phone
(678) 407-3777
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Laura C Davis, DDS
Title
Owner/Orthodontist
Phone
(770) 471-5255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN011238 GA Primary

Addresses

Primary practice location

875 Lawrenceville Suwanee Rd
Suite 410
Lawrenceville, GA 30043-8479

Mailing address

875 Lawrenceville Suwanee Rd
Suite 410
Lawrenceville, GA 30043-8479
Phone (678) 407-3777

National Provider Directory

National Provider Directory
Tax ID family
Laura C Davis DDS4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

875 Lawrenceville Suwanee Rd
Ste 410
Lawrenceville, GA 30043
Phone (678) 407-3777

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1457407405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE 410",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438479",
            "telephone_number": "678-407-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE 410",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438479",
            "telephone_number": "678-407-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA C DAVIS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "770-471-5255",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN011238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.