NPIMap

Organization Active NPI

M Dawn Harvey DMD PC

  • Dentist
  • Villa Rica, GA
National Provider Identifier
1790898153
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012657 Issued in GA
Legal business name
M DAWN HARVEY DMD PC
Practice address
105 Dallas Rd
Villa Rica, GA 30180
Phone
(770) 459-5778
Fax
(770) 459-6633
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Dr. Mary Dawn Harvey-Grundy, DMDNPI 1356788475
Title
Dentist Owner
Phone
(770) 459-5778

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 DN012657 GA Primary

Addresses

Primary practice location

105 Dallas Rd
Villa Rica, GA 30180

Mailing address

105 Dallas Rd
Villa Rica, GA 30180
Phone (770) 459-5778

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1790898153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DALLAS RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "30180",
            "telephone_number": "770-459-5778",
            "fax_number": "770-459-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DALLAS RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "30180",
            "telephone_number": "770-459-5778",
            "fax_number": "770-459-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M DAWN HARVEY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "HARVEY-GRUNDY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "770-459-5778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.