Active NPI
Sea of Pearls Dentistry LLC
- Dental Clinic/Center
- Marietta, GA
National Provider Identifier
1689395337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniela Oliveira Lemoine, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Marietta, GA
- NPI 1336632454
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.