Urgent Comprehensive Dental Kare, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

URGENT COMPREHENSIVE DENTAL KARE, LLC

Practice address

1350 Scenic Hwy N Ste 266
Snellville, GA 30078-7924

Phone

(770) 538-1055

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Arlita Jackson

Title

Dentist

Phone

(678) 481-6439

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1851097315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SCENIC HWY N STE 266",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787924",
            "telephone_number": "502-523-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SCENIC HWY N STE 266",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787924",
            "telephone_number": "770-538-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT COMPREHENSIVE DENTAL KARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ARLITA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "678-481-6439"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00048021313",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Snellville, GA
• Providers in Snellville, 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 Feb 7, 2023; 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.