Organization Active NPI

Town Dentistry of Duluth, LLC

  • General Practice Dentistry
  • Duluth, GA
National Provider Identifier
1851163471
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TOWN DENTISTRY OF DULUTH, LLC
Practice address
2405 Satellite Blvd Ste 115
Duluth, GA 30096-9022
Phone
(770) 622-5909
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Heather FrodgeNPI 1528235116
Title
Owner
Phone
(404) 476-0814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2405 Satellite Blvd Ste 115
Duluth, GA 30096-9022

Mailing address

2405 Satellite Blvd Ste 115
Duluth, GA 30096-9022
Phone (770) 622-5909

National Provider Directory

National Provider Directory

Locations

2405 Satellite Blvd
Ste 115
Duluth, GA 30096
Phone (770) 495-8088

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": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1851163471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SATELLITE BLVD STE 115",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969022",
            "telephone_number": "770-622-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 SATELLITE BLVD STE 115",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969022",
            "telephone_number": "770-622-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN DENTISTRY OF DULUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "FRODGE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-476-0814"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.