Organization Active NPI

New Smiles of Decatur

  • General Practice Dentistry
  • Decatur, GA
National Provider Identifier
1588426985
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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 DECATURAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

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.

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.

Verify at the official NPI Registry.