NPIMap

Organization Active NPI

Affordable Dentures & Implants of Georgia, LLC

Doing business as Affordable Dentures & Implants - Stone Mountain

  • General Practice Dentistry
  • Stone Mountain, GA
National Provider Identifier
1659000578
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS OF GEORGIA, LLC
Doing business as
Affordable Dentures & Implants - Stone Mountain
Practice address
5370 Stone Mountain Hwy Ste 1120
Stone Mountain, GA 30087-3575
Phone
(770) 783-1446
NPI assigned
Jun 7, 2022
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Olajumoke Adedoyin, DDS
Title
Owner
Phone
(770) 783-1446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

5370 Stone Mountain Hwy Ste 1120
Stone Mountain, GA 30087-3575

Mailing address

5370 Stone Mountain Hwy Ste 1120
Stone Mountain, GA 30087-3575
Phone (770) 783-1446

Other names 1

  • Affordable Dentures & Implants - Stone Mountain Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coastal Oral Surgery Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1659000578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 STONE MOUNTAIN HWY STE 1120",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873575",
            "telephone_number": "770-783-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 STONE MOUNTAIN HWY STE 1120",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873575",
            "telephone_number": "770-783-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ADEDOYIN",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-783-1446",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Stone Mountain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affordable Dentures & Implants - Stone Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.