Active NPI
Small Smiles of Atlanta, Inc
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1497720007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SMALL SMILES OF ATLANTA, INC
- Practice address
- 3050 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1500 - Phone
- (404) 696-3163
- Fax
- (404) 696-3165
- NPI assigned
- Feb 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jenell Stringer
- Title
- Manager, Licensing & Credentialing
- Phone
- (615) 750-0343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3050 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1500
Mailing address
16 Arcade Unit 198747
Nashville, TN 37219-1994
Phone (615) 750-0343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303492116A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370217600000",
"number": "1497720007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ARCADE UNIT 198747",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372191994",
"telephone_number": "615-750-0343",
"fax_number": "615-986-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 MARTIN LUTHER KING JR DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303111500",
"telephone_number": "404-696-3163",
"fax_number": "404-696-3165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALL SMILES OF ATLANTA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-18",
"last_updated": "2013-06-03",
"status": "A",
"authorized_official_last_name": "STRINGER",
"authorized_official_first_name": "JENELL",
"authorized_official_title_or_position": "MANAGER, LICENSING & CREDENTIALING",
"authorized_official_telephone_number": "615-750-0343",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303492116A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.