Carlisle Hamilton Vason, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015923 Issued in GA

Practice address

3193 Howell Mill Rd NW Ste 202
Atlanta, GA 30327-2100

Phone

(404) 216-0647

NPI assigned

Jul 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vason Dental, LLC

  dba Vason Family Dentistry

  • Dental Clinic/Center
  • Atlanta, GA
  • NPI 1407565450
  NPD Authorized official

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1881248763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 HENRY ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044655",
            "telephone_number": "404-216-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272100",
            "telephone_number": "404-216-0647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Freedom Way",
            "address_2": "Dental Service",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30904",
            "country_code": "US",
            "telephone_number": "706-733-0188 x7476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASON",
        "first_name": "CARLISLE",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vascular Institute of Georgia at Saint Joseph's, LLC
• Vascular Institute of Georgia, PC (Vascular Insitute of Georiga, PC)
• Aksal Pankaj Vashi
• Dipak V Vashi, MD
• Vason Dental, LLC (Vason Family Dentistry)
• James Hamilton Vason, D.D.S., PC
• Julia Vasquez-Gonzalez
• Andres Yuri Vasquez, CAA
• Nathan Vassey, DPT
• Thomas A Vassiliades Jr., M.D.

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, 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 Jan 6, 2021; 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.