NPIMap

Organization Active NPI

Stephan Gary Drescher DDS, PA

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1700946266
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7294 Issued in GA
Legal business name
STEPHAN GARY DRESCHER DDS, PA
Practice address
1201 Peachtree St NE
400 Colony Square, Suite 1515
Atlanta, GA 30361-6302
Phone
(404) 892-3545
Fax
(404) 875-0349
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Tammy Rae Jones
Title
Practice Administrator
Phone
(404) 892-3545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7294 GA Primary

Addresses

Primary practice location

1201 Peachtree St NE
400 Colony Square, Suite 1515
Atlanta, GA 30361-6302

Mailing address

1201 Peachtree St NE
400 Colony Square, Suite #1515
Atlanta, GA 30361-6302
Phone (404) 892-3545

National Provider Directory

National Provider Directory

Locations

1201 Peachtree St NE
Ste 1515
Atlanta, GA 30361
Phone (404) 892-3545

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1700946266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PEACHTREE ST NE",
            "address_2": "400 COLONY SQUARE, SUITE #1515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303616302",
            "telephone_number": "404-892-3545",
            "fax_number": "404-875-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PEACHTREE ST NE",
            "address_2": "400 COLONY SQUARE, SUITE 1515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303616302",
            "telephone_number": "404-892-3545",
            "fax_number": "404-875-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHAN GARY DRESCHER DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-892-3545"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7294",
            "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 Sep 18, 2012; 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.