Organization Active NPI

Anglea Slone DMD PC

  • Dental Clinic/Center
  • Duluth, GA
National Provider Identifier
1730570185
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN011450 Issued in GA
Legal business name
ANGLEA SLONE DMD PC
Practice address
9590 Medlock Bridge Rd
Ste D
Duluth, GA 30097-4443
Phone
(770) 495-9004
Fax
(770) 495-1422
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Dr. Anglea Slone Rasmussen, DMD
Title
Owner
Phone
(770) 495-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN011450 GA Primary

Addresses

Primary practice location

9590 Medlock Bridge Rd
Ste D
Duluth, GA 30097-4443

Mailing address

9590 Medlock Bridge Rd
Ste D
Duluth, GA 30097-4443
Phone (770) 495-9004

National Provider Directory

National Provider Directory

Locations

9590 Medlock Bridge Rd
Ste D
Johns Creek, GA 30097
Phone (770) 495-9004

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": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1730570185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 MEDLOCK BRIDGE RD",
            "address_2": "STE D",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974443",
            "telephone_number": "770-495-9004",
            "fax_number": "770-495-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9590 MEDLOCK BRIDGE RD",
            "address_2": "STE D",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974443",
            "telephone_number": "770-495-9004",
            "fax_number": "770-495-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGLEA SLONE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "ANGLEA",
        "authorized_official_middle_name": "SLONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-495-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN011450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.