Organization Active NPI

Douglasville Adent, LLC

  • Dental Clinic/Center
  • Douglasville, GA
National Provider Identifier
1831381961
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DOUGLASVILLE ADENT, LLC
Practice address
4904 Timber Ridge Rd
Suite 204
Douglasville, GA 30135
Phone
(678) 252-2137
Fax
(678) 336-7099
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Satyajeet S Patel, MD
Title
Medical Director
Phone
(404) 932-3317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4904 Timber Ridge Rd
Suite 204
Douglasville, GA 30135

Mailing address

2220 Wisteria Dr
Suite 208
Snellville, GA 30078-2656
Phone (678) 252-2137

National Provider Directory

National Provider Directory

Locations

4904 Timber Ridge Dr
Ste 204
Douglasville, GA 30135
Phone (678) 252-2137

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1831381961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 WISTERIA DR",
            "address_2": "SUITE 208",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782656",
            "telephone_number": "678-252-2137",
            "fax_number": "678-336-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 TIMBER RIDGE RD",
            "address_2": "SUITE 204",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "678-252-2137",
            "fax_number": "678-336-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLASVILLE ADENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SATYAJEET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-932-3317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

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