Active NPI
Atlanta Emergency Dental PC
- Dentist
- Tucker, GA
National Provider Identifier
1710051420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8962
- Legal business name
- ATLANTA EMERGENCY DENTAL PC
- Practice address
- 4060 Lavista Rd
Tucker, GA 30084 - Phone
- (770) 934-0770
- NPI assigned
- Nov 17, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leon G Pye
- Title
- President Owner
- Phone
- (770) 934-0770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8962 | GA | Primary |
Addresses
Primary practice location
4060 Lavista Rd
Tucker, GA 30084
Mailing address
4060 Lavista Rd
Tucker, GA 30084
Phone (770) 934-0770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00172235F | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Atlanta Emergency Dental PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Decatur, GA
- NPI 1942374624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710051420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 LAVISTA RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "30084",
"telephone_number": "770-934-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 LAVISTA RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "30084",
"telephone_number": "770-934-0770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA EMERGENCY DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PYE",
"authorized_official_first_name": "LEON",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "770-934-0770",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "8962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00172235F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
- Atlanta Cardiology and Primary Care PC
- Atlanta Cardiology Primary Care PC (Atlanta CArdiology and Primary Care PC)
- Atlanta Clinical Research Center
- Atlanta Dermatology & Surgery P.a.
- Atlanta Emergency Dental Center
- Atlanta GYN Center
- Atlanta Health Center PC
- Atlanta Heart Specialists LLC
- Atlanta Kidney Care LLC
- Atlanta Metro Speech Center,Inc.
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.