Organization Active NPI

Dental Images 916, LLC

  • Dental Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1841884392
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL IMAGES 916, LLC
Practice address
916 Lawrenceville Hwy Ste 201
Lawrenceville, GA 30046-4706
Phone
(770) 995-9255
Fax
(770) 995-9686
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Sabi Vukovic
Title
Office Manager
Phone
(770) 995-9255

Specialties & licenses 1

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

Addresses

Primary practice location

916 Lawrenceville Hwy Ste 201
Lawrenceville, GA 30046-4706

Mailing address

916 Lawrenceville Hwy Ste 201
Lawrenceville, GA 30046-4706
Phone (770) 995-9255

National Provider Directory

National Provider Directory

Locations

916 Lawrenceville Hwy
Ste 201
Lawrenceville, GA 30046
Phone (770) 995-9255

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": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1841884392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 LAWRENCEVILLE HWY STE 201",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464706",
            "telephone_number": "770-995-9255",
            "fax_number": "770-995-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 LAWRENCEVILLE HWY STE 201",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464706",
            "telephone_number": "770-995-9255",
            "fax_number": "770-995-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMAGES 916, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "VUKOVIC",
        "authorized_official_first_name": "SABI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-995-9255"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

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