NPIMap

Organization Active NPI

Soft Touch Endodontics, PC

  • Endodontics
  • Suwanee, GA
National Provider Identifier
1811222623
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN011750 Issued in GA
Legal business name
SOFT TOUCH ENDODONTICS, PC
Practice address
1120 Peachtree Industrial Blvd
Suite 205
Suwanee, GA 30024-2013
Phone
(770) 831-7644
Fax
(770) 831-7641
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Darlene Marie Davis, DDSNPI 1538379862
Title
Owner/Position
Phone
(770) 831-7644

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN011750 GA Primary
Health Maintenance Organization 302R00000X DN011750 GA

Addresses

Primary practice location

1120 Peachtree Industrial Blvd
Suite 205
Suwanee, GA 30024-2013

Mailing address

1120 Peachtree Industrial Blvd
Suite 205
Suwanee, GA 30024-2013
Phone (770) 831-7644

National Provider Directory

National Provider Directory

Locations

1120 Peachtree Industrial Blvd
Ste 205
Suwanee, GA 30024
Phone (770) 831-7644

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": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1811222623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 205",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242013",
            "telephone_number": "770-831-7644",
            "fax_number": "770-831-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 205",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242013",
            "telephone_number": "770-831-7644",
            "fax_number": "770-831-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFT TOUCH ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/POSITION",
        "authorized_official_telephone_number": "770-831-7644",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN011750",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "DN011750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.