Organization Active NPI

Family Dentistry at Stonecrest

  • Pediatric Dentistry
  • Lithonia, GA
National Provider Identifier
1588905251
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN012294 Issued in GA
Legal business name
FAMILY DENTISTRY AT STONECREST
Practice address
8052 Mall Pkwy
102
Lithonia, GA 30038-2649
Phone
(678) 323-7144
Fax
(678) 323-7162
NPI assigned
Mar 6, 2013
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Dr. Sonya Lynette Windham
Title
Owner
Phone
(678) 323-7144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN012294 GA Primary

Addresses

Primary practice location

8052 Mall Pkwy
102
Lithonia, GA 30038-2649

Mailing address

8052 Mall Pkwy
102
Lithonia, GA 30038-2649
Phone (678) 323-7144

National Provider Directory

National Provider Directory

Locations

8052 Mall Pkwy
Ste 102
Lithonia, GA 30038
Phone (678) 323-7144

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1588905251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8052 MALL PKWY",
            "address_2": "102",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382649",
            "telephone_number": "678-323-7144",
            "fax_number": "678-323-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8052 MALL PKWY",
            "address_2": "102",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382649",
            "telephone_number": "678-323-7144",
            "fax_number": "678-323-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY AT STONECREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-323-7144",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.