Dentistry of Norcross LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTRY OF NORCROSS LLC

Doing business as

DENTISTRY OF NORCROSS LLC

Practice address

6063 Peachtree Pkwy Ste 201B
Norcross, GA 30092-3340

Phone

(770) 448-4118

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Laura C. Koch, DMDNPI 1063500635

Title

Owner

Phone

(404) 249-1716

Specialties & licenses 1

Addresses

Other names 1

• DENTISTRY OF NORCROSS LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Colman Koch, D.M.D.

  • Dentist
  • Atlanta, GA
  • NPI 1063500635

  General Practice

  NPD Authorized official
• Shola Adesoji, DMD

  • Dentist
  • Norcross, GA
  • NPI 1770004491
  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1659071140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PEACHTREE ST NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093005",
            "telephone_number": "404-249-1716",
            "fax_number": "404-249-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 PEACHTREE PKWY STE 201B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923340",
            "telephone_number": "770-448-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF NORCROSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-249-1716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTISTRY OF NORCROSS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norberto N Delgado, DDS
• Brooke Nicole Dennis, PT, DPT
• Dental Now Kids LLC
• Dentfirst PC
• Dentfirst PC
• Angela Desai, PHARM,D
• Destiney Emergency Medical Services LLC
• Developmental Disabilities Ministries Inc
• Keisha Diallo
• Dialyze Direct Ga, LLC

• General Practice Dentistry in Norcross, GA
• Providers in Norcross, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.