Active NPI
New Smiles of Decatur
- General Practice Dentistry
- Decatur, GA
National Provider Identifier
1588426985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NEW SMILES OF DECATUR
- Practice address
- 3069 Clifton Springs Rd
Decatur, GA 30034-3822 - Phone
- (770) 593-3426
- Fax
- (770) 593-3426
- NPI assigned
- Jan 30, 2024
- Organization subpart
- Yes
- Parent organization
- NEW SMILES OF DECATUR
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Lee
- Title
- Office Manager
- Phone
- (770) 593-3426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3069 Clifton Springs Rd
Decatur, GA 30034-3822
Mailing address
3069 Clifton Springs Rd
Decatur, GA 30034-3822
Phone (770) 593-3426
Other practice location 1
3035 Panola Rd
Lithonia, GA 30038-2493
Phone (770) 593-3426
Other names 1
- New Smiles of Decatur
National Provider Directory
National Provider Directory- Part of
- New Smiles of Decatur
Locations
3069 Clifton Springs Rd
Decatur, GA 30034
Phone (770) 593-3426
3035 Panola Rd
Lithonia, GA 30038
Phone (770) 593-3426
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Lithonia, GA
- NPI 1164594032
-
- General Practice Dentistry
- Decatur, GA
- NPI 1093449910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1588426985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3069 CLIFTON SPRINGS RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300343822",
"telephone_number": "770-593-3426",
"fax_number": "770-593-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3069 CLIFTON SPRINGS RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300343822",
"telephone_number": "770-593-3426",
"fax_number": "770-593-3426"
}
],
"practiceLocations": [
{
"address_1": "3035 Panola Rd",
"address_purpose": "LOCATION",
"city": "Lithonia",
"state": "GA",
"postal_code": "300382493",
"country_code": "US",
"telephone_number": "770-593-3426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW SMILES OF DECATUR",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW SMILES OF DECATUR",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-593-3426"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Smiles of Decatur",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.