Smiles at Stonerest

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

11497 Issued in GA

Legal business name

SMILES AT STONEREST

Practice address

2929 Turner Hill Rd Ste 1410
Lithonia, GA 30038-2524

Phone

(770) 482-7800

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Joy Burke

Title

Office Manager

Phone

(770) 482-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1710155445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 TURNER HILL RD STE 1410",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382524",
            "telephone_number": "770-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 TURNER HILL RD STE 1410",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382524",
            "telephone_number": "770-482-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES AT STONEREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-482-7800"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "11497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00749504A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skilled Nursing Solutions LLC
• Corey Richard Slacks
• Amye Slate
• Tawny Crystal Small-Burnam, SLP
• Smile Zone Dental Clinic
• Smith and Hugh LLC
• Aaron Sinclair Smith, D.C.
• Caia Simone Smith
• Cara Marie Smith, PT, DPT
• Dina Rebecca Smith, LPC

• Preferred Provider Organization in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.