Lail Family Dentistry P.C.

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

Organization subpart

No

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

Authorized official

Name

Dr. Slade W Lail

Title

Owner Dentist

Phone

(678) 772-5640

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carson Lail, DMD

  • General Practice Dentistry
  • Duluth, GA
  • NPI 1265229017
  NPD
• Devan Callaway, D.M.D.

  • General Practice Dentistry
  • Duluth, GA
  • NPI 1790213825
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISA MOSS",
            "identifier": "1538482377",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVAN CALLAWAY",
            "identifier": "1790213825",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWL DENTAL",
            "identifier": "1881981181",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WALLACE LAIL",
            "identifier": "1821263831",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLADE LAIL",
            "identifier": "1902997109",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hye Min Kye
• Olivia Rose La Plume
• Laboratory Corporation of America Holdings
• Lysbeth Caluya Lagat, RN
• Oi Lam Lai
• Carson Lail, DMD
• Slade Wallace Lail, D.D.S.
• Wallace C Lail, DDS
• Wood Lajeunesse
• Lakeside Allergy Asthma and Immunology LLC

• General Practice Dentistry in Duluth, GA
• Providers in Duluth, GA by specialty
• General Practice Dentistry in Georgia

• 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.