NPIMap

Organization Active NPI

Gilreath Family and Cosmetic Dentistry LLC

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1831855139
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GILREATH FAMILY AND COSMETIC DENTISTRY LLC
Doing business as
Gilreath Family Dentistry
Practice address
200 White St NW
Marietta, GA 30060-1058
Phone
(770) 514-1224
Fax
(770) 635-8461
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Faith Gaskins
Title
Dental Director
Phone
(972) 869-3789

Specialties & licenses 1

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

Addresses

Primary practice location

200 White St NW
Marietta, GA 30060-1058

Mailing address

200 White St NW
Marietta, GA 30060-1058
Phone (770) 514-1224

Other names 1

  • Gilreath Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

200 White St NW
Marietta, GA 30060
Phone (770) 422-6521

Practitioners & affiliated clinicians

Practitioners 4

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": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1831855139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601058",
            "telephone_number": "770-514-1224",
            "fax_number": "770-635-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601058",
            "telephone_number": "770-514-1224",
            "fax_number": "770-635-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILREATH FAMILY AND COSMETIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilreath Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gilreath Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.