Organization Active NPI

Sy Dentistry DMD PC

  • General Practice Dentistry
  • Snellville, GA
National Provider Identifier
1558521930
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SY DENTISTRY DMD PC
Practice address
3321 Hwy 124
Suite B
Snellville, GA 30039-6115
Phone
(770) 972-2888
Fax
(770) 972-3880
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Shurlang Yen, DMD
Title
Dentist
Phone
(770) 972-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3321 Hwy 124
Suite B
Snellville, GA 30039-6115

Mailing address

3321 Hwy 123
Suite B
Snellville, GA 30039
Phone (770) 972-2888

Other names 1

  • shurlang yen Other name

National Provider Directory

National Provider Directory

Locations

3321 Highway 124
#B
Snellville, GA 30039
Phone (770) 972-2888

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1558521930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 HWY 123",
            "address_2": "SUITE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30039",
            "telephone_number": "770-972-2888",
            "fax_number": "770-972-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 HWY 124",
            "address_2": "SUITE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396115",
            "telephone_number": "770-972-2888",
            "fax_number": "770-972-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SY DENTISTRY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "SHURLANG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-972-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "shurlang yen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.