Atlanta Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNO13196 Issued in GA

Legal business name

ATLANTA FAMILY DENTISTRY

Practice address

2394 Cobb Pkwy SE
Smyrna, GA 30080-3061

Phone

(770) 850-8442

Fax

(770) 850-8052

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Danny Jeon, DMD

Title

Owner

Phone

(770) 850-8442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lily Liu, DMD

  • Dentist
  • Smyrna, GA
  • NPI 1477912814
  NPD (past)
• Charlotte Pullins, D.D.S.

  • General Practice Dentistry
  • Athens, AL
  • NPI 1427149566
  NPD (past)

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1760615629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 COBB PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803061",
            "telephone_number": "770-850-8442",
            "fax_number": "770-850-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2394 COBB PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803061",
            "telephone_number": "770-850-8442",
            "fax_number": "770-850-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-850-8442",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO13196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "733999822A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anushka Vavitra Arumugasaamy, M.D.
• Richeal Asamoah, NP
• Aston Consulting Services, PC
• Shondda Renee Atkins-Harris, CERTIFICATION
• Atlanta Extremity MRI LLC
• Atlanta Hand Specialist Surgery Center LLC
• Atlanta Hand Therapy, LLC
• Atlanta Innovative Counseling Center, LLC
• Atlanta Interventional Institute LLC
• Atlanta Kids OT, LLC

• General Practice Dentistry in Smyrna, GA
• Providers in Smyrna, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.