Advanced Athens Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ADVANCED ATHENS DENTISTRY, PC

Doing business as

Advanced Dentistry of Athens

Practice address

1155 Cedar Shoals Dr
Athens, GA 30605-3592

Phone

(706) 546-8720

NPI assigned

Jul 13, 2017

Last updated

Jul 13, 2017By 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

Ms. Jill S Ledbetter

Title

Treasurer

Phone

(404) 695-0428

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dentistry of Athens Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Lee Esco, DMD

  • Dentist
  • Snellville, GA
  • NPI 1164724464
  NPD (past)
• James Benjamin Patrick, DMD

  • General Practice Dentistry
  • Athens, GA
  • NPI 1477696607
  NPD (past)
• Brant Sandifer, DMD

  • Dentist
  • Watkinsville, GA
  • NPI 1871014449
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1760904569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CEDAR SHOALS DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CEDAR SHOALS DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053592",
            "telephone_number": "706-546-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ATHENS DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "404-695-0428",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry of Athens",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Dentistry of Athens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arinola Adesuyi-Dibden, LAPC
• Prakash Adhikari, MD
• Azubueze A Adogu, MD, PHD
• Martine P Adogu, MD
• Adult and Child Counseling of Athens LLC (Adult and Child Counseling of Athens)
• Advanced Gynecologic Surgery Center
• Advantage Behavioral Health Systems
• Advantage Behavioral Health Systems
• Advantage Behavioral Health Systems
• Advantage Behavioral Health Systems

• Dental Clinic/Center in Athens, GA
• Providers in Athens, 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 Jul 13, 2017; 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.