NPIMap

Organization Active NPI

Callicutt and Dayries LLC

  • General Practice Dentistry
  • Roswell, GA
National Provider Identifier
1710902358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011273 Issued in GA
Legal business name
CALLICUTT AND DAYRIES LLC
Practice address
1240 Upper Hembree Rd
Suite B
Roswell, GA 30076-0914
Phone
(770) 753-0067
Fax
(770) 753-0994
NPI assigned
Jul 13, 2006
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
Dr. Victoria C Callicutt, DDSNPI 1013983931
Title
Owner
Phone
(770) 753-0067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 011273 GA Primary

Addresses

Primary practice location

1240 Upper Hembree Rd
Suite B
Roswell, GA 30076-0914

Mailing address

1240 Upper Hembree Rd
Suite B
Roswell, GA 30076-0914
Phone (770) 753-0067

National Provider Directory

National Provider Directory

Locations

1240 Upper Hembree Rd
Ste B
Roswell, GA 30076
Phone (770) 753-0067

Practitioners & affiliated clinicians

Practitioners 2

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710902358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 UPPER HEMBREE RD",
            "address_2": "SUITE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760914",
            "telephone_number": "770-753-0067",
            "fax_number": "770-753-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 UPPER HEMBREE RD",
            "address_2": "SUITE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760914",
            "telephone_number": "770-753-0067",
            "fax_number": "770-753-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLICUTT AND DAYRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLICUTT",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-753-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, 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.