Austell Cosmetic Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DN012026 Issued in GA

Legal business name

AUSTELL COSMETIC DENTISTRY

Practice address

4760 Austell Rd
Suite 2
Austell, GA 30106-2007

Phone

(770) 941-9995

NPI assigned

Oct 19, 2007

Last updated

Oct 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anisa Lee Hailey, D.M.D.

Title

President & Chief Smile Architect

Phone

(770) 941-9995

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1811186398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 AUSTELL RD",
            "address_2": "SUITE 2",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062007",
            "telephone_number": "770-941-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 AUSTELL RD",
            "address_2": "SUITE 2",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062007",
            "telephone_number": "770-941-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTELL COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "HAILEY",
        "authorized_official_first_name": "ANISA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF SMILE ARCHITECT",
        "authorized_official_telephone_number": "770-941-9995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlanta Prosthetics & Orthotics, Inc.
• Atlanta West Dermatology & Surgery Center PC (Atlanta West Dermatology PC)
• Atlanta West Family Dentistry
• Attention Consulting Services LLC
• Kate Elizabeth Aufort
• Austell Dental Associates, LLC
• Austell Dental Center
• Austell Dentistry Associates LLC
• Austell Eyecare Inc
• Austell Smiles Dentistry, PC (Austell Smiles Dentistry)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.