Organization Active NPI

Affordable Dentures & Implants of Georgia II, LLC

  • Dentist
  • Newnan, GA
National Provider Identifier
1629669361
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AFFORDABLE DENTURES & IMPLANTS OF GEORGIA II, LLC
Practice address
559 Bullsboro Dr
Newnan, GA 30265-1045
Phone
(770) 755-1900
NPI assigned
Jan 26, 2021
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
William Young, DDS
Title
Owner
Phone
(770) 755-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

559 Bullsboro Dr
Newnan, GA 30265-1045

Mailing address

559 Bullsboro Dr
Newnan, GA 30265-1045
Phone (770) 755-1900

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentures Implants of Georgia II LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

559 Bullsboro Dr
Newnan, GA 30265
Phone (770) 755-1900

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1629669361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651045",
            "telephone_number": "770-755-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651045",
            "telephone_number": "770-755-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS OF GEORGIA II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-755-1900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.