Mount Vernon Dental Group, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOUNT VERNON DENTAL GROUP, LLC

Practice address

2472 Jett Ferry Rd Ste 430
Dunwoody, GA 30338-3059

Phone

(770) 396-8061

NPI assigned

Oct 5, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Dominick M D'Auria, DDSNPI 1043289861

Title

Dentist

Phone

(770) 722-5000

Specialties & licenses 1

Addresses

Practitioners 3

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

• Dominick M D'Auria, D.D.S.

  • General Practice Dentistry
  • Peachtree City, GA
  • NPI 1043289861
  NPD Authorized official
• Amar Mistry, DDS

  • General Practice Dentistry
  • Dunwoody, GA
  • NPI 1104274976
  NPD
• Thomas K Sparkman, D.D.S.

  • General Practice Dentistry
  • Dunwoody, GA
  • NPI 1164421152
  NPD (past)

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1528665486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 JETT FERRY RD STE 430",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383059",
            "telephone_number": "770-396-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 JETT FERRY RD STE 430",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383059",
            "telephone_number": "770-396-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "D'AURIA",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-722-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Faith Morgan, LPC
• Alicja Morgas
• Aurelia Morris
• Katherine Elizabeth Morris, LCSW
• Jamie Christopher Morrison, PA-C
• Mount Vernon Eye Care, P.C.
• Mt Vernon Family Medicine
• Rivkah Muller, LPC
• Renee Mullinax
• Adrienne Murray, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.