Iclear Orthodontics and Braces North LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN014522 Issued in GA

Legal business name

ICLEAR ORTHODONTICS AND BRACES NORTH LLC

Doing business as

Orthodontic excellence

Practice address

5635 Peachtree Pkwy
Suite 200
Norcross, GA 30092-2879

Phone

(770) 448-0494

NPI assigned

Feb 12, 2016

Last updated

Feb 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kalpeshkumar Thakkar, DDS

Title

Manager

Phone

(770) 448-0494

Specialties & licenses 1

Addresses

Other names 1

• Orthodontic excellence Doing business as

Locations

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1740649177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 PEACHTREE PKWY",
            "address_2": "SUITE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922879",
            "telephone_number": "770-448-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 PEACHTREE PKWY",
            "address_2": "SUITE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922879",
            "telephone_number": "770-448-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICLEAR ORTHODONTICS AND BRACES NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "KALPESHKUMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-448-0494",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN014522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Norcross, GA
• Providers in Norcross, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.