Active NPI
Herrin Pediatric Dentistry
- Pediatric Dentistry
- Marietta, GA
National Provider Identifier
1871840983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- HERRIN PEDIATRIC DENTISTRY
- Practice address
- 3020 Roswell Rd
Suite 110
Marietta, GA 30062-4996 - Phone
- (678) 215-5352
- NPI assigned
- Aug 8, 2012
- 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
- Brent Herrin
- Title
- Dentist/Owner
- Phone
- (678) 215-5352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
3020 Roswell Rd
Suite 110
Marietta, GA 30062-4996
Mailing address
3020 Roswell Rd
Suite 110
Marietta, GA 30062-4996
National Provider Directory
National Provider DirectoryLocations
3020 Roswell Rd
Ste 110
Marietta, GA 30062
Phone (770) 565-8730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344384000000",
"number": "1871840983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 ROSWELL RD",
"address_2": "SUITE 110",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 ROSWELL RD",
"address_2": "SUITE 110",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624996",
"telephone_number": "678-215-5352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERRIN PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A",
"authorized_official_last_name": "HERRIN",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "678-215-5352"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"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 Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.