Organization Active NPI

Croxton Dental LLC

  • General Practice Dentistry
  • Dallas, GA
National Provider Identifier
1669237590
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CROXTON DENTAL LLC
Practice address
8709 Dallas Acworth Hwy
Dallas, GA 30132-2177
Phone
(770) 693-4400
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
David W. Croxton, DMDNPI 1205181641
Title
Dentist/Partner
Phone
(404) 680-9028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8709 Dallas Acworth Hwy
Dallas, GA 30132-2177

Mailing address

1001 Whitlock Ave SW Ste a
Marietta, GA 30064-1971
Phone (404) 680-9028

National Provider Directory

National Provider Directory

Locations

1001 Whitlock Ave SW
Ste A
Marietta, GA 30064
Phone (770) 428-5959

Practitioners & affiliated clinicians

Practitioners 5

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": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1669237590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WHITLOCK AVE SW STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641971",
            "telephone_number": "404-680-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 DALLAS ACWORTH HWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301322177",
            "telephone_number": "770-693-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROXTON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "CROXTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DENTIST/PARTNER",
        "authorized_official_telephone_number": "404-680-9028",
        "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": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.