Timber Ridge Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TIMBER RIDGE DENTAL CENTER

Practice address

137 Prominence CT Ste 140
Dawsonville, GA 30534-8938

Phone

(706) 265-6877

Fax

(866) 923-3790

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Tony Michael Stanley Jr., DMDNPI 1437512480

Title

Dentist/Owner

Phone

(706) 502-0722

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Tony Michael Stanley Jr., D.M.D

  • General Practice Dentistry
  • Dawsonville, GA
  • NPI 1437512480
  NPD Authorized official
• Anthony Rella, D.M.D.

  • Dentist
  • Dawsonville, GA
  • NPI 1083146542
  NPD

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1871351403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 STEVEHAVEN LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300285998",
            "telephone_number": "706-502-0722",
            "fax_number": "866-923-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PROMINENCE CT STE 140",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348938",
            "telephone_number": "706-265-6877",
            "fax_number": "866-923-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER RIDGE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "706-502-0722",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.