Premier Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011973 Issued in GA

Legal business name

PREMIER DENTAL INC

Practice address

8097 Roswell Rd
BLDG E
Atlanta, GA 30350-6159

Phone

(770) 642-4711

NPI assigned

Apr 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Denise Greene, DDS

Title

President

Phone

(404) 915-1666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1497928063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8097 ROSWELL RD",
            "address_2": "BLDG E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303506159",
            "telephone_number": "770-642-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8097 ROSWELL RD",
            "address_2": "BLDG E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303506159",
            "telephone_number": "770-642-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-915-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00814965C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Chronic Pain Care Inc.
• Premier Comprehensive Services LLC
• Premier Comprehensive Services, LLC
• Premier Concierge Care of Atlanta LLC
• Premier Dental Care of Buckhead, LLC
• Premier Eye Physicians PC
• Premier Health and Wellness Management, LLC
• Premier Image Cosmetic & Laser Surgery
• Premier Injury Specialist
• Premier Med Solutions LLC

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, 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 Apr 3, 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.