Smile Zone Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010354 Issued in GA

Legal business name

SMILE ZONE DENTAL CLINIC

Practice address

8225 Mall Pkwy Ste 200
Lithonia, GA 30038-6995

Phone

(770) 484-8535

Fax

(770) 484-8536

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Joseph Parker, DDS

Title

Dentist/Owner

Phone

(770) 484-8535

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1508265604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 MALL PKWY STE 200",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386995",
            "telephone_number": "770-484-8535",
            "fax_number": "770-484-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 MALL PKWY STE 200",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386995",
            "telephone_number": "770-484-8535",
            "fax_number": "770-484-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ZONE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "770-484-8535",
        "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": "DN010354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "698559902A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lithonia, GA
• Providers in Lithonia, 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 Aug 14, 2014; 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.