Organization Active NPI

Ismile LLC

  • General Practice Dentistry
  • Roswell, GA
National Provider Identifier
1801068291
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012824 Issued in GA
Legal business name
ISMILE LLC
Practice address
1230 Upper Hembree Rd
Suite 202
Roswell, GA 30076-0911
Phone
(678) 297-3992
Fax
(678) 297-3998
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mrs. Julie Harper
Title
Office Manager
Phone
(678) 297-3992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN012824 GA Primary

Addresses

Primary practice location

1230 Upper Hembree Rd
Suite 202
Roswell, GA 30076-0911

Mailing address

1230 Upper Hembree Rd
Suite 202
Roswell, GA 30076-0911
Phone (678) 297-3992

National Provider Directory

National Provider Directory

Locations

1230 Upper Hembree Rd
Ste 202
Roswell, GA 30076
Phone (678) 297-3992

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1801068291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 UPPER HEMBREE RD",
            "address_2": "SUITE 202",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760911",
            "telephone_number": "678-297-3992",
            "fax_number": "678-297-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 UPPER HEMBREE RD",
            "address_2": "SUITE 202",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760911",
            "telephone_number": "678-297-3992",
            "fax_number": "678-297-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-297-3992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012824",
            "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 Mar 26, 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.