Amon Meadows DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11763 Issued in GA

Legal business name

AMON MEADOWS DMD PC

Practice address

4686 South Atlanta Rd Suite I
Smyrna, GA 30080

Phone

(404) 799-8499

Fax

(404) 799-8496

NPI assigned

Apr 10, 2007

Last updated

Jun 25, 2008By 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. Amon A Meadows, DMDNPI 1073785820

Title

Owner Dentist

Phone

(404) 799-8499

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amon Meadows DMD PC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amon A Meadows, DMD

  • Dentist
  • Smyrna, GA
  • NPI 1073785820
  Authorized official Same address or phone

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1841413804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4686 SOUTH ATLANTA RD SUITE I",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "404-799-8499",
            "fax_number": "404-799-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 SOUTH ATLANTA RD SUITE I",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "404-799-8499",
            "fax_number": "404-799-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMON MEADOWS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "AMON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "404-799-8499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00772461D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amon Meadows DMD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Smyrna, GA
• Providers in Smyrna, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.