Individual provider Active NPI

Anh-Thu Dang, DMD

  • Dentist
  • Lilburn, GA
National Provider Identifier
1861914806
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN015477 Issued in GA
Practice address
440 Pleasant Hill Rd NW Ste 110
Lilburn, GA 30047-2781
Phone
(678) 716-7700
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN015477 GA Primary

Addresses

Primary practice location

440 Pleasant Hill Rd NW Ste 110
Lilburn, GA 30047-2781

Mailing address

440 Pleasant Hill Rd NW Ste 110
Lilburn, GA 30047-2781
Phone (678) 716-7700

Other identifiers 1

IdentifierTypeStateIssuer
003218084AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN015477GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Paribus Dental Solutions CurrentSince Aug 28, 2021 Accepting new patients

Locations

440 Pleasant Hill Rd NW
Ste 110
Lilburn, GA 30047
Phone (678) 716-7700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1861914806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 PLEASANT HILL RD NW STE 110",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472781",
            "telephone_number": "678-716-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PLEASANT HILL RD NW STE 110",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472781",
            "telephone_number": "678-716-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "ANH-THU",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003218084A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; 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.