Brookhaven Village Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BROOKHAVEN VILLAGE DENTISTRY

Practice address

2814 Buford Hwy NE
Brookhaven, GA 30329-2103

Phone

(404) 683-2444

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Myra Scarlett, DMDNPI 1306461330

Title

Dentist

Phone

(404) 486-7661

Specialties & licenses 1

Addresses

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.

• Myra Scarlett, DMD

  • Dentist
  • Brookhaven, GA
  • NPI 1306461330
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1508540196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 WIEUCA RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 BUFORD HWY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292103",
            "telephone_number": "404-683-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN VILLAGE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "SCARLETT",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "404-486-7661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookhaven Aesthetic Institute
• Brookhaven Chiropractic LLC (Complete Spine Solutions Brookhaven)
• Brookhaven Dental Associates
• Brookhaven Dental Group LLC
• Brookhaven Police Department
• Brookhaven Vision Care, LLC
• Brookleigh Family Eyecare, Inc
• Ashley Armbruster Brooks, OT
• Keisha Renee Brooks
• Lapachus Tacorra-Samone Brooks, BS

• Dental Clinic/Center in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.