Organization Active NPI

Stephens & Burrell Family Dentistry, LLC

  • General Practice Dentistry
  • Stone Mountain, GA
National Provider Identifier
1710459755
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STEPHENS & BURRELL FAMILY DENTISTRY, LLC
Practice address
5370 Stone Mountain Hwy Ste 720
Stone Mountain, GA 30087-3574
Phone
(770) 465-3400
NPI assigned
Dec 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Dr. Diane Stephens, DMD
Title
Partner/Owner
Phone
(770) 465-3400

Specialties & licenses 1

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

Addresses

Primary practice location

5370 Stone Mountain Hwy Ste 720
Stone Mountain, GA 30087-3574

Mailing address

5370 Stone Mountain Hwy Ste 720
Stone Mountain, GA 30087-3574
Phone (770) 465-3400

Other names 1

  • Transcendental Smiles of Georgia Doing business as

National Provider Directory

National Provider Directory

Locations

5370 Stone Mountain Hwy
Ste 720
Stone Mountain, GA 30087
Phone (770) 465-3400

Practitioners & affiliated clinicians

Practitioners 1

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": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1710459755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 STONE MOUNTAIN HWY STE 720",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873574",
            "telephone_number": "770-465-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 STONE MOUNTAIN HWY STE 720",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873574",
            "telephone_number": "770-465-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS & BURRELL FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "770-465-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transcendental Smiles of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.