Dental Care Center of Decatur LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN012830 Issued in GA

Legal business name

DENTAL CARE CENTER OF DECATUR LLC

Practice address

2530 Lawrenceville Hwy
Decatur, GA 30033

Phone

(770) 939-9779

Fax

(770) 939-2393

NPI assigned

Jun 27, 2018

Last updated

Jun 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lynn Allen Livingston Jr., DDS

Title

Ceo

Phone

(770) 939-9779

Specialties & licenses 1

Addresses

Other names 1

• Lynn Livingston Sole MBR Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Christopher McFarland, DMD

  • Dentist
  • Decatur, GA
  • NPI 1518089242
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1689169096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "770-939-9779",
            "fax_number": "770-939-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "770-939-9779",
            "fax_number": "770-939-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE CENTER OF DECATUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-939-9779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynn Livingston Sole MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffrey David Denner, PHARM.D.
• Courtney Denney, LMSW
• Christa V Dennis
• Lauren Dennis
• Sara J Dennis, LCSW
• Department of Behavioral Health and Developmental Disabilities
• Department of Veteran Affairs
• Department of Veterans Affair
• Department of Veterans Affairs
• Department of Veterans Affairs Medical Center

• Dentist in Decatur, GA
• Providers in Decatur, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.