Dental Home Atlanta

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL HOME ATLANTA

Doing business as

Dental Home @ Gwinnett Place

Practice address

3796 Satellite Blvd
Suite #100
Duluth, GA 30096

Phone

(770) 476-4140

Fax

(404) 900-1924

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Hen Chen, DDS

Title

Owner/Dentist

Phone

(770) 476-4140

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dental Home @ Gwinnett Place Doing business as

Locations

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1699325506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3796 SATELLITE BLVD",
            "address_2": "SUITE #100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-476-4140",
            "fax_number": "404-900-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3796 SATELLITE BLVD",
            "address_2": "SUITE #100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-476-4140",
            "fax_number": "404-900-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HOME ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "HEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "770-476-4140",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003220690A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Home @ Gwinnett Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miguel B Delmazo, MD
• Roberta Katrina Deloach
• Elizabeth Demander, DO
• Inna Demina
• Denhavens PCH, Inc.
• Dental One Associates Duluth
• Dentfirst PC
• Dentfirst PC
• Dependable Home Care LLC
• Dependable Home Care 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 Sep 13, 2019; 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.