Douglasville Dentistry for Kids

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DNO13148 Issued in GA

Legal business name

DOUGLASVILLE DENTISTRY FOR KIDS

Practice address

3387 Highway 5
Douglasville, GA 30135-6900

Phone

(678) 813-2388

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nelson K Allen, D.D.S.

Title

Pediatric Dentistry

Phone

(678) 813-2388

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Jasmine Aliza Butler, DDS

  • Pediatric Dentistry
  • Marietta, GA
  • NPI 1326623661
  NPD (past)
• Jennifer Canada McKnight, DMD

  • Pediatric Dentistry
  • Douglasville, GA
  • NPI 1124401146
  NPD (past)
• Lanita Yvette Strozier, DDS

  • Pediatric Dentistry
  • Douglasville, GA
  • NPI 1326293903
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1881006427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3387 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356900",
            "telephone_number": "678-813-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356900",
            "telephone_number": "678-813-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLASVILLE DENTISTRY FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PEDIATRIC DENTISTRY",
        "authorized_official_telephone_number": "678-813-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DNO13148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896892351AK",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglasville Adent, LLC
• Douglasville Aim, LLC
• Douglasville Center for Nursing and Healing LLC
• Douglasville Dental Associates, P.C.
• Douglasville Dental Smiles
• Douglasville Expresscare, LLC
• Douglasville Eye Clinic PC
• Douglasville FS Inc
• Douglasville Islamic Women'S Shelter and Services, Inc
• Douglasville Nephrology & HTN Clinic

• Pediatric Dentistry in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.