NPIMap

Organization Active NPI

Thomas Crossroads Dental Center Inc.

  • Dental Clinic/Center
  • Newnan, GA
National Provider Identifier
1730243510
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8855 Issued in GA
Legal business name
THOMAS CROSSROADS DENTAL CENTER INC.
Practice address
2511 Highway 34 E
Newnan, GA 30265-1329
Phone
(770) 251-6676
Fax
(770) 251-0567
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. Daniel Edmund Ferman, D.D.S.
Title
Owner
Phone
(770) 251-6676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8855 GA Primary

Addresses

Primary practice location

2511 Highway 34 E
Newnan, GA 30265-1329

Mailing address

2511 Highway 34 E
Newnan, GA 30265-1329
Phone (770) 251-6676

National Provider Directory

National Provider Directory

Locations

2511 Highway 34 E
Newnan, GA 30265
Phone (770) 251-6676

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1730243510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651329",
            "telephone_number": "770-251-6676",
            "fax_number": "770-251-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651329",
            "telephone_number": "770-251-6676",
            "fax_number": "770-251-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS CROSSROADS DENTAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "FERMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-251-6676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "8855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.