NPIMap

Organization Active NPI

Pediatric Dentistry at Vinings

  • Pediatric Dentistry
  • Smyrna, GA
National Provider Identifier
1871314807
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PEDIATRIC DENTISTRY AT VININGS
Doing business as
Pediatric Dentistry at Vinings
Practice address
3200 Highlands Pkwy SE Ste 110
Smyrna, GA 30082-5192
Phone
(678) 305-1090
Fax
(678) 305-1015
NPI assigned
Oct 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Dr. Faith Bates, DMDNPI 1144330937
Title
President/Owner
Phone
(678) 305-1090

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3200 Highlands Pkwy SE Ste 110
Smyrna, GA 30082-5192

Mailing address

3200 Highlands Pkwy SE Ste 110
Smyrna, GA 30082-5192
Phone (678) 305-1090

Other names 1

  • Pediatric Dentistry at Vinings Doing business as

National Provider Directory

National Provider Directory

Locations

3200 Highlands Pkwy SE
Ste 110
Smyrna, GA 30082
Phone (678) 305-1090

Practitioners & affiliated clinicians

Practitioners 3

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": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1871314807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 HIGHLANDS PKWY SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825192",
            "telephone_number": "678-305-1090",
            "fax_number": "678-305-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 HIGHLANDS PKWY SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825192",
            "telephone_number": "678-305-1090",
            "fax_number": "678-305-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY AT VININGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "678-305-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry at Vinings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.