Organization Active NPI

Sea of Pearls Dentistry LLC

  • Dental Clinic/Center
  • Marietta, GA
National Provider Identifier
1689395337
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SEA OF PEARLS DENTISTRY LLC
Doing business as
Sea of Pearls Dental Boutique
Practice address
1401 Johnson Ferry Rd Ste 164
Marietta, GA 30062-6499
Phone
(470) 795-6677
NPI assigned
Sep 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Dr. Daniela Oliveira Lemoine, DMDNPI 1336632454
Title
Owner/Dentist
Phone
(470) 795-6677

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1401 Johnson Ferry Rd Ste 164
Marietta, GA 30062-6499

Mailing address

1401 Johnson Ferry Rd Ste 164
Marietta, GA 30062-6499
Phone (470) 795-6677

Other names 1

  • Sea of Pearls Dental Boutique Doing business as

National Provider Directory

National Provider Directory

Locations

1401 Johnson Ferry Rd
Ste 164
Marietta, GA 30062
Phone (470) 795-6677

Practitioners & affiliated clinicians

Practitioners 1

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": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1689395337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JOHNSON FERRY RD STE 164",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626499",
            "telephone_number": "470-795-6677",
            "fax_number": "470-795-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSON FERRY RD STE 164",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626499",
            "telephone_number": "470-795-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA OF PEARLS DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "LEMOINE",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "OLIVEIRA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "470-795-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea of Pearls Dental Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sea of Pearls Dental Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

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