PS DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN014760 Issued in GA

Legal business name

PS DDS

Practice address

2655 Dallas Hwy SW
510
Marietta, GA 30064-2597

Phone

(404) 731-7522

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Sanil PatelNPI 1487919536

Title

Director

Phone

(404) 731-7522

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.

• Sanil Patel, D.D.S

  • Dentist
  • Marietta, GA
  • NPI 1487919536
  NPD (past) Authorized official

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1790219103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW",
            "address_2": "510",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 DALLAS HWY SW",
            "address_2": "510",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642597",
            "telephone_number": "404-731-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-731-7522"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Pruett, CNP
• Lashanti Melba Pruitt, MA
• Pruitthealth - Marietta, LLC (PruittHealth - Marietta)
• Pruittplace - East Cobb, LLC
• Mariah Christine Pryor, AAC
• Psa DDS LLC (Pure Smiles Dentistry)
• Psalm 121 Hair Studio
• Psych Atlanta, P.C.
• Psychiatric Health Professionals, P.C.
• Psychological Affiliates

• Dentist in Marietta, GA
• Providers in Marietta, GA by specialty
• Dentist in Georgia

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