Active NPI
Frank Lynwood O'Connor Jr., D.D.S.
- Prosthodontics
- Tucker, GA
National Provider Identifier
1770799488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 7908
- Practice address
- 2258 Northlake Pkwy
Suite 211
Tucker, GA 30084-4019 - Phone
- (770) 939-5661
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 7908 | GA | Primary |
Addresses
Primary practice location
2258 Northlake Pkwy
Suite 211
Tucker, GA 30084-4019
Mailing address
2258 Northlake Pkwy
Suite 211
Tucker, GA 30084-4019
Phone (770) 939-5661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7908 | GA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Prosthodontics and Consulting, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Tucker, GA
- NPI 1427864891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1770799488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2258 NORTHLAKE PKWY",
"address_2": "SUITE 211",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844019",
"telephone_number": "770-939-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2258 NORTHLAKE PKWY",
"address_2": "SUITE 211",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844019",
"telephone_number": "770-939-5661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "FRANK",
"middle_name": "LYNWOOD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "GA",
"license": "7908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
- Noel Noya Pino
- Kristin Noyes, LCSW
- Nursing Care of Georgia
- Nutrition Consultants of Atlanta, LLC
- Richard Edward Nyberg, P.T.
- Colleen Maria O'Donnell
- Occupational Health Centers of Georgia PC
- Ocmulgee Medical Pathology Association Inc
- Ocmulgee Medical Pathology Association, Inc
- Efosa Omonuwa Ogiamien, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.