Organization Active NPI

Buckhead Smile Center, P.C.

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1609170158
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BUCKHEAD SMILE CENTER, P.C.
Practice address
2900 Peachtree Rd NW
Suite 209
Atlanta, GA 30305-4915
Phone
(404) 261-0909
NPI assigned
Dec 27, 2010
Last updated
Dec 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Lori Spence
Title
Coo
Phone
(770) 312-5167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2900 Peachtree Rd NW
Suite 209
Atlanta, GA 30305-4915

Mailing address

2900 Peachtree Rd NW
Suite 209
Atlanta, GA 30305-4915

National Provider Directory

National Provider Directory

Locations

2900 Peachtree Rd NW
Ste 209
Atlanta, GA 30305
Phone (404) 261-0909

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1609170158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PEACHTREE RD NW",
            "address_2": "SUITE 209",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PEACHTREE RD NW",
            "address_2": "SUITE 209",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054915",
            "telephone_number": "404-261-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD SMILE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-312-5167"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.