K2 Dental, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

K2 DENTAL, INC.

Practice address

916 Loganville Hwy Ste 180
Bethlehem, GA 30620-2162

Phone

(770) 868-0088

Fax

(770) 868-0119

NPI assigned

Jun 11, 2019

Last updated

Jun 11, 2019By 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

Mrs. Erica Lynn Deyton

Title

Office Manager

Phone

(770) 868-0088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1538728787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 LOGANVILLE HWY STE 180",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306202162",
            "telephone_number": "770-868-0088",
            "fax_number": "770-868-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 LOGANVILLE HWY STE 180",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306202162",
            "telephone_number": "770-868-0088",
            "fax_number": "770-868-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K2 DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DEYTON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-868-0088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenni Hess
• Mary E Holt, LPC
• Independent Physical Therapy of Georgia, LLC (Benchmark Physical Therapy)
• Iwc Georgia, Inc
• Deslyn Desrene Jones
• Sarah Kaliher, PA-C
• Annie Khowaja
• Gabriela Milena Kiuhan Uribe, SLP
• Matthew George Knebel, NP-C
• Fatoumata Diariou Kourouma, FNP

• Dental Clinic/Center in Bethlehem, GA
• Providers in Bethlehem, 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 Jun 11, 2019; 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.