Organization Active NPI

Joiner Dental LLC

  • Dental Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1609542984
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOINER DENTAL LLC
Doing business as
Fayette Family Dental
Practice address
105 Braxton CT
Fayetteville, GA 30214-1968
Phone
(770) 883-8230
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Dr. Perry Joiner, DMD
Title
Owner
Phone
(770) 883-8230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

105 Braxton CT
Fayetteville, GA 30214-1968

Mailing address

105 Braxton CT
Fayetteville, GA 30214-1968
Phone (770) 883-8230

Other names 1

  • Fayette Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

105 Braxton Ct
Fayetteville, GA 30214
Phone (770) 461-0449

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1609542984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRAXTON CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141968",
            "telephone_number": "770-883-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRAXTON CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141968",
            "telephone_number": "770-883-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "JOINER",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-883-8230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.