Main Street Dental of Cartersville, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20211364798 Issued in GA

Legal business name

MAIN STREET DENTAL OF CARTERSVILLE, P.C.

Practice address

328 E Main St Ste 102
Cartersville, GA 30120-3278

Phone

(770) 382-1516

NPI assigned

Jun 6, 2012

Last updated

Mar 14, 2013By 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

Dr. Denny Y Lim, DDS

Title

Officer

Phone

(770) 382-1516

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1538420591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 E. MAIN STREET SUITE 102",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30120",
            "telephone_number": "770-382-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 E MAIN ST STE 102",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203278",
            "telephone_number": "770-382-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DENTAL OF CARTERSVILLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "DENNY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "770-382-1516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "20211364798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lelia Johnson Mackey, PHYSICAL THERAPIST
• Scott A Macmurdo, M.D.
• Sreedhar Maddineni, M.D.
• Chappell Rebecca Madhani, MS, RD, LD
• Richard R. Maguire, M.D
• Rose Makimei
• Hammad Malik, M.D.
• Linda I Malike
• Raquel Minka Maltsberger, NP-C
• Ashley Mangham

• General Practice Dentistry in Cartersville, GA
• Providers in Cartersville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.