Acworth Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ACWORTH DENTAL LLC

Doing business as

Dental Care Acworth

Practice address

5552 Robin Rd Ste a
Acworth, GA 30102-1914

Phone

(678) 888-1554

NPI assigned

Aug 12, 2019

Last updated

Aug 12, 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

Ravi Patel, DMD

Title

Owner

Phone

(317) 364-3740

Specialties & licenses 1

Addresses

Other names 1

• Dental Care Acworth Doing business as

Locations

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1548816002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 NELSON BROGDON BLVD STE 210",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185401",
            "telephone_number": "317-364-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5552 ROBIN RD STE A",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301021914",
            "telephone_number": "678-888-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACWORTH DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-364-3740",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Acworth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Acaring Hospice LLC
• Access Care and Case Management LLC
• Acworth Center for Dental Excellence PC (Cherokee Smiles Dental)
• Acworth Center for Family Dentistry
• Acworth Community Hospice LLC
• Acworth Durable Medical Equipment LLC
• Acworth Family Chiropractic Center (Acworth Wellness Center)
• Acworth Family Practice LLC (Acworth Primary Healthcare)
• Acworth Immediate Care LLC (Acworth Immediate Care)
• Acworth Medical and Respite Care (Rapid Care Mobile Clinic)

• Dental Clinic/Center in Acworth, GA
• Providers in Acworth, 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 Aug 12, 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.