Delores Hubbard D D S L L C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9437 Issued in GA

Legal business name

DELORES HUBBARD D D S L L C

Practice address

1784 Washington Ave
East Point, GA 30344-4148

Phone

(404) 766-8559

Fax

(404) 766-7742

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Delores Hubabrd

Title

Owner/Dentist

Phone

(404) 766-8559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delores Hubbard, D.D.S

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1942381801
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1801060629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 WASHINGTON AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444148",
            "telephone_number": "404-766-8559",
            "fax_number": "404-766-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 WASHINGTON AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444148",
            "telephone_number": "404-766-8559",
            "fax_number": "404-766-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELORES HUBBARD D D S L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "HUBABRD",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "404-766-8559",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220712C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in East Point, GA
• Providers in East Point, 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 Apr 14, 2008; 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.