NPIMap

Organization Active NPI

Good Dental Care LLC

  • Dentist
  • Roswell, GA
National Provider Identifier
1790164911
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014356 Issued in GA
Legal business name
GOOD DENTAL CARE LLC
Practice address
910 Woodstock Rd
Ste 110
Roswell, GA 30075-8217
Phone
(770) 518-7475
Fax
(770) 818-5602
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Shalini Nair, DMDNPI 1013148303
Title
Owner
Phone
(770) 518-7475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN014356 GA Primary

Addresses

Primary practice location

910 Woodstock Rd
Ste 110
Roswell, GA 30075-8217

Mailing address

910 Woodstock Rd
Ste 110
Roswell, GA 30075-8217
Phone (770) 518-7475

National Provider Directory

National Provider Directory

Locations

910 Woodstock Rd
Ste 100
Roswell, GA 30075
Phone (770) 518-7475

Practitioners & affiliated clinicians

Practitioners 1

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": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1790164911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WOODSTOCK RD",
            "address_2": "STE 110",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300758217",
            "telephone_number": "770-518-7475",
            "fax_number": "770-818-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WOODSTOCK RD",
            "address_2": "STE 110",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300758217",
            "telephone_number": "770-518-7475",
            "fax_number": "770-818-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-518-7475",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.