NPIMap

Organization Active NPI

Ashford Dental Inc.

  • General Practice Dentistry
  • College Park, GA
National Provider Identifier
1609933936
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9996 Issued in GA
Legal business name
ASHFORD DENTAL INC.
Practice address
2177 Godby Rd
Suite D
College Park, GA 30349-3307
Phone
(404) 763-3326
Fax
(404) 763-3073
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robin Dwayne Ashford, D.D.S.
Title
President
Phone
(404) 763-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9996 GA Primary

Addresses

Primary practice location

2177 Godby Rd
Suite D
College Park, GA 30349-3307

Mailing address

2177 Godby Rd
Suite D
College Park, GA 30349-3307
Phone (404) 763-3326

National Provider Directory

National Provider Directory
Tax ID family
Ashford Dental Inc II2 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.

Locations

2177 Godby Rd
Ste D
College Park, GA 30349
Phone (404) 763-3326

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609933936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 GODBY RD",
            "address_2": "SUITE D",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493307",
            "telephone_number": "404-763-3326",
            "fax_number": "404-763-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 GODBY RD",
            "address_2": "SUITE D",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493307",
            "telephone_number": "404-763-3326",
            "fax_number": "404-763-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHFORD DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHFORD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-763-3326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.