Organization Active NPI

Decatur Family Denture Center

  • General Practice Dentistry
  • Decatur, GA
National Provider Identifier
1760637698
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DECATUR FAMILY DENTURE CENTER
Practice address
2458 Wesley Chapel Rd
Suite B
Decatur, GA 30035-3423
Phone
(770) 322-0059
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Cassius Belmore
Title
Owner
Phone
(770) 322-0059

Specialties & licenses 1

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

Addresses

Primary practice location

2458 Wesley Chapel Rd
Suite B
Decatur, GA 30035-3423

Mailing address

2458 Wesley Chapel Rd
Ste B
Decatur, GA 30035
Phone (770) 322-0059

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1760637698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 WESLEY CHAPEL RD",
            "address_2": "STE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "770-322-0059",
            "fax_number": "770-322-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 WESLEY CHAPEL RD",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353423",
            "telephone_number": "770-322-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR FAMILY DENTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "BELMORE",
        "authorized_official_first_name": "CASSIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-322-0059"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.