NPIMap

Organization Active NPI

Coweta Dental Sleep Therapy LLC

  • General Practice Dentistry
  • Peachtree City, GA
National Provider Identifier
1770023830
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011313 Issued in GA
Legal business name
COWETA DENTAL SLEEP THERAPY LLC
Practice address
260 S Peachtree Pkwy
Peachtree City, GA 30269-1700
Phone
(770) 486-9400
Fax
(770) 252-6818
NPI assigned
Mar 8, 2017
Organization subpart
Yes
Parent organization
COWETA DENTAL SLEEP THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Dr. Clemmie Todd Cox, D.M.D
Title
Owner/Dentist
Phone
(770) 486-9400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN011313 GA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

260 S Peachtree Pkwy
Peachtree City, GA 30269-1700

Mailing address

260 S Peachtree Pkwy
Peachtree City, GA 30269-1700
Phone (770) 486-9400

National Provider Directory

National Provider Directory
Part of
Coweta Dental Sleep Therapy LLC

Locations

260 S Peachtree Pkwy
Peachtree City, GA 30269
Phone (770) 486-9400

Practitioners & affiliated clinicians

Practitioners 4

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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1770023830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S PEACHTREE PKWY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691700",
            "telephone_number": "770-486-9400",
            "fax_number": "770-252-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S PEACHTREE PKWY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691700",
            "telephone_number": "770-486-9400",
            "fax_number": "770-252-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWETA DENTAL SLEEP THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COWETA DENTAL SLEEP THERAPY LLC",
        "enumeration_date": "2017-03-08",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CLEMMIE",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "770-486-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011313",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.