Sophia Waye Coley Coley DMD,PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOPHIA WAYE COLEY COLEY DMD,PC

Doing business as

Clayton County Family Dentistry

Practice address

653 Roberts Dr Ste B
Riverdale, GA 30274-2959

Phone

(770) 991-9925

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Sophia Waye Coley, DMDNPI 1033324751

Title

Owner

Phone

(770) 991-9925

Specialties & licenses 1

Addresses

Other names 1

• Clayton County Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sophia Waye Coley, DMD

  • Dentist
  • Riverdale, GA
  • NPI 1033324751
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1457564270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961480",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302966906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 ROBERTS DR STE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742959",
            "telephone_number": "770-991-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA WAYE COLEY COLEY DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "WAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-991-9925",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton County Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chantal Smith, LMT
• Natasha Smith, MD
• Sheila Eloise Smith, MEDICAL ASSISTANT
• Solace Gardens, LLC (SarahCare at Riverdale Place Adult Day Health Center)
• Sonar Clinical Research, LLC
• Ayodeji Sotimehin
• South Atlanta Medical Care
• South Atlanta Neurology and Diagnostics, P.C.
• South Atlanta Pediatrics
• South Atlanta Psychiatry LLC

• Dentist in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.