Organization Active NPI

North Atlanta Aesthetic Dentistry, PC.

  • Dental Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1821496134
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN011186 Issued in GA
Legal business name
NORTH ATLANTA AESTHETIC DENTISTRY, PC.
Practice address
4165 Old Milton Parkway
Suite 140
Alpharetta, GA 30005
Phone
(770) 664-1244
Fax
(770) 695-0143
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Larry Shawn Gurley, DDSNPI 1700859832
Title
Doctor/Owner
Phone
(770) 664-1244

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
Dental Clinic/Center 261QD0000X DN011186 GA Primary

Addresses

Primary practice location

4165 Old Milton Parkway
Suite 140
Alpharetta, GA 30005

Mailing address

4165 Old Milton Parkway
Suite 140
Alpharetta, GA 30005
Phone (770) 664-1244

National Provider Directory

National Provider Directory

Locations

4165 Old Milton Pkwy
Ste 140
Alpharetta, GA 30005
Phone (770) 664-1244

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": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1821496134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 OLD MILTON PARKWAY",
            "address_2": "SUITE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-664-1244",
            "fax_number": "770-695-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 OLD MILTON PARKWAY",
            "address_2": "SUITE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-664-1244",
            "fax_number": "770-695-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTA AESTHETIC DENTISTRY, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "770-664-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN011186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.