Jsa Dental Associates Conyers PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013121 Issued in GA

Legal business name

JSA DENTAL ASSOCIATES CONYERS PC

Doing business as

Honey Creek Dental

Practice address

1151 Nor Tec Dr
Suite B
Conyers, GA 30013

Phone

(770) 483-0029

Fax

(770) 483-0043

NPI assigned

Aug 16, 2016

Last updated

Aug 16, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

JSA DENTAL ASSOCIATES MCDONOUGH PCAs reported in NPPES

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

Authorized official

Name

Dr. Juanita Adkins, D.M.D.

Title

Owner

Phone

(770) 483-0029

Specialties & licenses 1

Addresses

Other names 1

• Honey Creek Dental Doing business as

Part of

Jsa Dental Associates McDonough PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Jsa Dental Associates McDonough PC

  • General Practice Dentistry
  • McDonough, GA
  • NPI 1356793962
  NPPES parent name

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1881149268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 NOR TEC DR",
            "address_2": "SUITE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "770-483-0029",
            "fax_number": "770-483-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 NOR TEC DR",
            "address_2": "SUITE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "770-483-0029",
            "fax_number": "770-483-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSA DENTAL ASSOCIATES CONYERS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JSA DENTAL ASSOCIATES MCDONOUGH PC",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-483-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Honey Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvette Arlene Jones, OWNER
• Melissa Evans Jordan, M.D.
• Bradford A Joseph, CSFA
• Joy Wellness Counseling Center
• Joyous Care LLC
• Julianne Adams Birt, MD, LLC (Radiant Women's Health)
• Andrea N Jump, D.C.
• Susan B Jung, LPC
• Michele Lee Junger, DDS
• K&R Glowing Pride Residential Services of Georgia

• General Practice Dentistry in Conyers, GA
• Providers in Conyers, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.