Active NPI
Young & Tanner, LLC
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1871719773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DNO12629
- Legal business name
- YOUNG & TANNER, LLC
- Practice address
- 1000 Johnson Ferry Rd.
BLDG a, Suite 100
Marietta, GA 30068 - Phone
- (770) 973-8911
- Fax
- (770) 509-7403
- NPI assigned
- Apr 18, 2007
- Last updated
- Mar 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rebecca Lin Pugh
- Title
- Accts. MGR.
- Phone
- (770) 973-7227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DNO12629 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd.
BLDG a, Suite 100
Marietta, GA 30068
Mailing address
1000 Johnson Ferry Rd.
BLDG. a, Suite 100
Marietta, GA 30068
Phone (770) 973-8911
National Provider Directory
National Provider DirectoryLocations
1000 Johnson Ferry Rd
Ste A100
Marietta, GA 30068
Phone (770) 973-8911
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Marietta, GA
- NPI 1275603821
-
- General Practice Dentistry
- Marietta, GA
- NPI 1215270368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395964800000",
"number": "1871719773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD.",
"address_2": "BLDG. A, SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30068",
"telephone_number": "770-973-8911",
"fax_number": "770-509-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD.",
"address_2": "BLDG A, SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30068",
"telephone_number": "770-973-8911",
"fax_number": "770-509-7403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG & TANNER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2014-03-28",
"status": "A",
"authorized_official_last_name": "PUGH",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "LIN",
"authorized_official_title_or_position": "ACCTS. MGR.",
"authorized_official_telephone_number": "770-973-7227",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DNO12629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.