Medical Dental Management Services, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEDICAL DENTAL MANAGEMENT SERVICES, INC.

Practice address

1150 Hammond Dr NE
C-3120
Atlanta, GA 30328-5334

Phone

(770) 604-9944

Fax

(770) 604-9945

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Larry Buford, D.D.S.

Title

Dentist

Phone

(770) 604-9944

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1568633311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR NE",
            "address_2": "C-3120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285334",
            "telephone_number": "770-604-9944",
            "fax_number": "770-604-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR NE",
            "address_2": "C-3120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285334",
            "telephone_number": "770-604-9944",
            "fax_number": "770-604-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DENTAL MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BUFORD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-604-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "9184187",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.