Organization Active NPI

Powers Ferry Family Dentistry, PDP, LLC

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1528880911
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
POWERS FERRY FAMILY DENTISTRY, PDP, LLC
Practice address
6370 Powers Ferry Rd
Atlanta, GA 30339-3518
Phone
(404) 994-5650
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Heather Taylor
Title
Director
Phone
(404) 994-5650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6370 Powers Ferry Rd
Atlanta, GA 30339-3518

Mailing address

6370 Powers Ferry Rd
Atlanta, GA 30339-3518
Phone (404) 994-5650

Other names 1

  • Powers Ferry Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6370 Powers Ferry Rd
Sandy Springs, GA 30339
Phone (404) 994-5650

6370 Powers Ferry Rd
Ste 103
Sandy Springs, GA 30339
Phone (404) 641-6707

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1528880911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 POWERS FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393518",
            "telephone_number": "404-994-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 POWERS FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393518",
            "telephone_number": "404-994-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERS FERRY FAMILY DENTISTRY, PDP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-994-5650"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powers Ferry Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.