NPIMap

Organization Active NPI

Lail Family Dentistry P.C.

  • General Practice Dentistry
  • Duluth, GA
National Provider Identifier
1699314955
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAIL FAMILY DENTISTRY P.C.
Practice address
3415 Highway 120
Duluth, GA 30096-3354
Phone
(770) 476-2400
Fax
(770) 623-1460
NPI assigned
Jan 3, 2020
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Dr. Slade W LailNPI 1902997109
Title
Owner Dentist
Phone
(678) 772-5640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3415 Highway 120
Duluth, GA 30096-3354

Mailing address

PO Box 1476
Duluth, GA 30096-0026
Phone (770) 476-2400

National Provider Directory

National Provider Directory

Locations

3415 Highway 120
Duluth, GA 30096
Phone (770) 476-2400

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1699314955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1476",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960026",
            "telephone_number": "770-476-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 HIGHWAY 120",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963354",
            "telephone_number": "770-476-2400",
            "fax_number": "770-623-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAIL FAMILY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "LAIL",
        "authorized_official_first_name": "SLADE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "678-772-5640",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.