Active NPI
First Impressions Family Dentistry, P.C.
- Dentist
- East Point, GA
National Provider Identifier
1871741777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- FIRST IMPRESSIONS FAMILY DENTISTRY, P.C.
- Practice address
- 1607 White Way
East Point, GA 30344-3317 - Phone
- (678) 517-8368
- NPI assigned
- Sep 4, 2008
- Last updated
- Sep 4, 2008
- 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
- Dr. Paul R McKoy
- Title
- Officer
- Phone
- (678) 517-8368
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
1607 White Way
East Point, GA 30344-3317
Mailing address
3695 Cascade Rd SW Ste F
#2186
Atlanta, GA 30331-2146
Phone (678) 517-8368
National Provider Directory
National Provider DirectoryLocations
1607 White Way
East Point, GA 30344
Phone (404) 382-5845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220486400000",
"number": "1871741777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3695 CASCADE RD SW STE F",
"address_2": "#2186",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312146",
"telephone_number": "678-517-8368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 WHITE WAY",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303443317",
"telephone_number": "678-517-8368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST IMPRESSIONS FAMILY DENTISTRY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A",
"authorized_official_last_name": "MCKOY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "678-517-8368",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.