Walton Family Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WALTON FAMILY DENTISTRY LLC

Doing business as

Walton Dental Care

Practice address

862 Michael Etchison Rd
Monroe, GA 30655-8204

Phone

(770) 267-2301

Fax

(770) 267-8981

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Kevin M Lacour, DDS

Title

Owner

Phone

(770) 367-5191

Specialties & licenses 1

Addresses

Other names 1

• Walton Dental Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stuart Chastain Knight, DMD

  • Dentist
  • Lilburn, GA
  • NPI 1124688981
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1851934160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 MICHAEL ETCHISON RD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558204",
            "telephone_number": "770-267-2301",
            "fax_number": "770-267-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 MICHAEL ETCHISON RD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558204",
            "telephone_number": "770-267-2301",
            "fax_number": "770-267-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "LACOUR",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-367-5191",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walton County School System
• Walton County Senior Center
• Walton Drug Co Inc (Carmichaels)
• Walton Drug Co Inc
• Walton Eye Care, Inc.
• Walton Family Medicine, P.C.
• Walton Hospitalist Associates
• Zhe Wang, LAPC
• Miracle Watkins
• Tiffany Welch, PA

• Dentist in Monroe, GA
• Providers in Monroe, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.