NPIMap

Organization Active NPI

Henderson Mill Dental Care, PC

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1699819938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7904 Issued in GA
Legal business name
HENDERSON MILL DENTAL CARE, PC
Practice address
2847 Henderson Mill Rd
Atlanta, GA 30341-5772
Phone
(770) 496-0496
Fax
(770) 496-1758
NPI assigned
Feb 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charlotte Wheeler
Title
Insurance Coordinator
Phone
(770) 496-0496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7904 GA Primary

Addresses

Primary practice location

2847 Henderson Mill Rd
Atlanta, GA 30341-5772

Mailing address

2847 Henderson Mill Rd
Atlanta, GA 30341-5772
Phone (770) 496-0496

National Provider Directory

National Provider Directory

Locations

2847 Henderson Mill Rd
Atlanta, GA 30341
Phone (770) 496-0496

Practitioners & affiliated clinicians

Practitioners 4

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699819938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 HENDERSON MILL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415772",
            "telephone_number": "770-496-0496",
            "fax_number": "770-496-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 HENDERSON MILL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415772",
            "telephone_number": "770-496-0496",
            "fax_number": "770-496-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON MILL DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "770-496-0496"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.