Life Point Dental Athens LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LIFE POINT DENTAL ATHENS LLC

Practice address

598 Prince Ave
Athens, GA 30601-2451

Phone

(706) 543-4952

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. James Herr, DDSNPI 1497981799

Title

Dentist Owner

Phone

(612) 414-9170

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Herr, DDS

  • Dentist
  • Cumming, GA
  • NPI 1497981799
  NPD (past) Authorized official
• Cheol Min Yoon, DDS

  • Dentist
  • Athens, GA
  • NPI 1730798646
  NPD
• Sean Sharifali

  • Dentist
  • Summerville, GA
  • NPI 1306458344
  NPD (past)

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1558986182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WASHINGTON ST",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491008",
            "telephone_number": "706-543-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012451",
            "telephone_number": "706-543-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE POINT DENTAL ATHENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "612-414-9170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Let's Talk Speech Therapy
• Aretha Lewis, RN
• Marcia L Lewis, RN
• Samuel Watson Lewis, ATC, PT, DPT
• Kristin Carter Ley, ACNP-BC
• Life Source Healing Center, Inc
• Life Transition, Inc. (Life Transition Home Care Services)
• Life Transition, Inc.
• Lifecare Pharmacy Ga Corp
• Lifemate Behavioral and Psychiatry LLC

• Dental Clinic/Center in Athens, GA
• Providers in Athens, 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 9, 2020; 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.