Comprehensive Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN012835 Issued in GA

Legal business name

COMPREHENSIVE DENTAL CENTER

Doing business as

Lilburn Family Dentistry

Practice address

629 Beaver Ruin Rd NW
Suite a
Lilburn, GA 30047-3401

Phone

(770) 925-4773

Fax

(770) 925-8773

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ketankumar Patel, D.M.D.

Title

Owner

Phone

(770) 925-4773

Specialties & licenses 1

Addresses

Other names 1

• Lilburn Family Dentistry Doing business as

Tax ID family

Comprehensive Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Comprehensive Dental Center

  • Dentist
  • Alpharetta, GA
  • NPI 1740308576
  NPD tax ID

Locations

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1538356829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 BEAVER RUIN RD NW",
            "address_2": "SUITE A",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473401",
            "telephone_number": "770-925-4773",
            "fax_number": "770-925-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 BEAVER RUIN RD NW",
            "address_2": "SUITE A",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473401",
            "telephone_number": "770-925-4773",
            "fax_number": "770-925-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETANKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-925-4773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN012835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilburn Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Patricia Cole
• Petrea Ann Coleman, PT
• Rachel H Collett, M.ED. CCC-SLP
• Robert Sherrod Collins Jr., LMSW
• Community Living Solutions, Inc.
• Comprehensive Foot & Ankle
• Consultorio Medico Familiar Inc
• Ciara Evelyn Cook
• Cookie Dental & Orthodontics LLC
• Jean Hesse Corbett, PHARM D

• Dental Clinic/Center in Lilburn, GA
• Providers in Lilburn, 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 Oct 1, 2007; 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.