NPIMap

Organization Active NPI

Atlanta Dental Center, LLC

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1609300516
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ATLANTA DENTAL CENTER, LLC
Practice address
620 Peachtree St NE
Suite 204
Atlanta, GA 30308-2313
Phone
(404) 872-7755
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Joshua Benk
Title
Office Manager
Phone
(404) 872-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

620 Peachtree St NE
Suite 204
Atlanta, GA 30308-2313

Mailing address

620 Peachtree St NE
Suite 204
Atlanta, GA 30308-2313
Phone (404) 872-7755

National Provider Directory

National Provider Directory
Tax ID family
Atlanta Dental Center2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1609300516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 PEACHTREE ST NE",
            "address_2": "SUITE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082313",
            "telephone_number": "404-872-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PEACHTREE ST NE",
            "address_2": "SUITE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082313",
            "telephone_number": "404-872-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "BENK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-872-7755"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "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 Apr 18, 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.