Collier Hills Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11787 Issued in GA

Legal business name

COLLIER HILLS DENTAL, P.C.

Practice address

2072 Defoors Ferry Rd NW
Suite D
Atlanta, GA 30318-2352

Phone

(770) 355-4952

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J. Walker Love, DDSNPI 1003822156

Title

President

Phone

(404) 355-4952

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J. Walker Love, D.D.S.

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1003822156
  NPD (past) Authorized official
• Cameron James Schoettler, DMD

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1164942777
  NPD (past)
• Sivakumar Venkatachalam, DMD

  • General Practice Dentistry
  • Wildwood, FL
  • NPI 1285202796
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1497949176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 DEFOORS FERRY RD NW",
            "address_2": "SUITE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182352",
            "telephone_number": "770-355-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 DEFOORS FERRY RD NW",
            "address_2": "SUITE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182352",
            "telephone_number": "770-355-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER HILLS DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "J. WALKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-355-4952",
        "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": "11787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collective Learning Academy, Inc.
• Trent Michael Collett, DMD
• Sydney A Collette, MD
• Collier Chiropractic
• Collier Counseling, LLC
• Jennifer Collier-Madon, MD
• Amy Collier, PA-C
• Aron Collier
• Autumn Collier, LCSW
• Hannah A Collier

• 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 Sep 5, 2007; 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.