Ponce Dental Studio LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PONCE DENTAL STUDIO LLC

Practice address

892 Ponce de Leon Ave NE Ste 100
Atlanta, GA 30306-4239

Phone

(404) 345-2757

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Thomas

Title

Revenue Cycle Manager

Phone

(678) 333-8463

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1518652171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 PONCE DE LEON AVE NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 PONCE DE LEON AVE NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064239",
            "telephone_number": "404-345-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE DENTAL STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "678-333-8463"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Pompey
• Mario Carlos Ponce Alvarez, M.D.
• Ponce de Leon Surgery Center, LLC
• Ponce Dental Group, PC
• Ponce Dental Studio Buckhead, LLC
• Ponce Infectious Disease Center Pharmacy
• Angelina Ponce
• Chelsea E Ponder, MSN, RN, ACNP
• Erinn Nicole Ponder, D.P.M.
• Ponders Podiatry LLC (Ponders Podiatry)

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.