Dentcare Dental Lab USA Inc

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

DENTCARE DENTAL LAB USA INC

Practice address

3915 Rosebud Rd
Loganville, GA 30052-4608

Phone

(678) 525-9083

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Thomas George

Title

Cfo

Phone

(678) 525-9083

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1558829523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 BRIARFIELD WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432345",
            "telephone_number": "678-525-9083",
            "fax_number": "678-609-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 ROSEBUD RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524608",
            "telephone_number": "678-525-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTCARE DENTAL LAB USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-525-9083"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannifer Degree, PHLEBOTOMIST
• Keyondra Lashay Delaney, LCSW
• Brian C Dempsey, O.D.
• La'Shawn Capri Dennis
• Bethany Dent
• Amanda Marjorie Derby, PT, DPT
• Ebony Nicole Derrickson, MS DDP
• Daniel Dewitt, CCC-SLP
• Diagnostic Laboratory Services Inc.
• Priscilla Diaz

• Dental Laboratory in Loganville, GA
• Providers in Loganville, GA by specialty
• Dental Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.