Dental Smiles of America LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN013630 Issued in GA

Legal business name

DENTAL SMILES OF AMERICA LLC

Practice address

1325 Auburn Rd
Dacula, GA 30019

Phone

(678) 495-9500

Fax

(678) 495-9501

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Devang Shah, DMD

Title

Dentist/Owner Member

Phone

(678) 495-9500

Specialties & licenses 1

Addresses

Other names 1

• Dental Smiles At Dacula Doing business as

Locations

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1760745194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AUBURN RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191121",
            "telephone_number": "678-495-9500",
            "fax_number": "678-495-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 AUBURN RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "678-495-9500",
            "fax_number": "678-495-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SMILES OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DEVANG",
        "authorized_official_title_or_position": "DENTIST/OWNER MEMBER",
        "authorized_official_telephone_number": "678-495-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Smiles At Dacula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ralph Smith Deloach III, M.ED.,CCC-SLP
• Seetal J Deluca
• Sarah Lyne Denize
• Dennison Investments
• William Dennison
• Meekerley Destin, MSN, PMHNP-BC
• Lucy L Dexter, SLP
• Anthony John Didato Jr.
• Divine Hope Home Care LLC
• Divine Podiatry

• Dental Clinic/Center in Dacula, GA
• Providers in Dacula, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.