Organization Active NPI

Young & Tanner, LLC

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1871719773
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DNO12629 Issued in GA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.