Organization Active NPI

Manders Inc

  • General Practice Dentistry
  • Smyrna, GA
National Provider Identifier
1881859775
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MANDERS INC
Practice address
2220 Atlanta Rd SE
Suite 104
Smyrna, GA 30080-1583
Phone
(770) 435-6888
Fax
(770) 435-6888
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Mr. Howard D MandersNPI 1609070903
Title
Owner
Phone
(770) 435-6888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2220 Atlanta Rd SE
Suite 104
Smyrna, GA 30080-1583

Mailing address

2220 Atlanta Rd SE
Suite 104
Smyrna, GA 30080-1583
Phone (770) 435-6888

Other names 1

  • Manders Dental Other name

National Provider Directory

National Provider Directory

Locations

2220 Atlanta Rd SE
Ste 104
Smyrna, GA 30080
Phone (770) 435-6888

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1881859775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 ATLANTA RD SE",
            "address_2": "SUITE 104",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801583",
            "telephone_number": "770-435-6888",
            "fax_number": "770-435-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 ATLANTA RD SE",
            "address_2": "SUITE 104",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801583",
            "telephone_number": "770-435-6888",
            "fax_number": "770-435-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "MANDERS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-435-6888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manders Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.