Creative Dentistry of Atlanta

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN012610 Issued in GA

Legal business name

CREATIVE DENTISTRY OF ATLANTA

Practice address

5505 Peachtree Dunwoody Rd
Suite 460
Atlanta, GA 30342

Phone

(404) 883-3287

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Anitha Reddy, DMD

Title

Owner

Phone

(404) 883-3287

Specialties & licenses 1

Addresses

Tax ID family

Creative Dentistry of Atlanta2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Creative Dentistry of Atlanta

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1801389812
  NPD tax ID

Locations

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1588075014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 460",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-883-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 460",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-883-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTISTRY OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "ANITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-883-3287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN012610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Created2Empower Counseling Services,LLC
• Creating Conscious Connections, LLC
• Creating Magical Memories LLC
• Creating New Beginnings Counseling & Consulting LLC
• Creative Behavior Consulting
• Creative Dentistry of Atlanta
• Credence Counseling, LLC
• Karen Camille Creed, MD
• Tracy Creek, MD
• Hanna Driver Creel, AGPCNP-C

• Dental Clinic/Center in Atlanta, GA
• Providers in Atlanta, 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 May 19, 2014; 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.