Buckhead Smiles Cosmetic and Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012800 Issued in GA

Legal business name

BUCKHEAD SMILES COSMETIC AND FAMILY DENTISTRY LLC

Practice address

321 Pharr Rd NE
Suite a
Atlanta, GA 30305-2346

Phone

(404) 917-1111

Fax

(404) 917-1113

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By 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

Dr. Portia Maxine Grayson, DDS

Title

Owner Dentist

Phone

(404) 917-1111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Portia Grayson Williams, DDS

  • Dentist
  • Atlanta, GA
  • NPI 1164434775
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770613119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 PHARR RD NE",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052346",
            "telephone_number": "404-917-1111",
            "fax_number": "404-917-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 PHARR RD NE",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052346",
            "telephone_number": "404-917-1111",
            "fax_number": "404-917-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD SMILES COSMETIC AND FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "404-917-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buckhead Periodontics, P.C.
• Buckhead Plastic Surgery
• Buckhead Podiatry Associates LLC
• Buckhead Primary Care, LLC
• Buckhead Smile Center, P.C.
• Buckhead Speech Specialists, Inc.
• Buckhead Spine Clinic LTD. Co.
• Buckhead Spine Specialist LLC
• Buckhead Sports Medicine and Spine Center (Midtown Sports Medicine)
• Buckhead Surgical Associates LLC

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, 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 22, 2020; 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.