J C Mets Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

J C METS INC

Doing business as

M L King Dental Center

Practice address

1099 M L King Jr Drive
Atlanta, GA 30314

Phone

(404) 752-7777

Fax

(404) 752-6877

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mordena T Sullen, DMDNPI 1699929737

Title

President

Phone

(404) 788-9740

Specialties & licenses 1

Addresses

Other names 1

• M L King Dental Center Doing business as

Practitioners 1

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

• Mordena T Sullen, DMD

  • Dentist
  • Atlanta, GA
  • NPI 1699929737
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659454395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30302",
            "telephone_number": "404-752-7777",
            "fax_number": "404-752-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 M L KING JR DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30314",
            "telephone_number": "404-752-7777",
            "fax_number": "404-752-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J C METS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLEN",
        "authorized_official_first_name": "MORDENA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-788-9740",
        "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": "M L King Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Iyobhebhe
• Maria Andreina Izarra, D.M.D.
• Iyare E Izevbaye, MBBS
• Vanessa Izmirlian
• Adelena Marie Izold, ND
• J D S Medical Services & Supplies Inc
• J Dewayne Colquitt MD LLC
• J Light Collection LLC
• J Lynn Medical Supplies LLC
• J Simpson LLC

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, 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 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.