Dental One Associates (Stockbridge) LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL ONE ASSOCIATES (STOCKBRIDGE) LLC

Practice address

1233 Eagles Landing Pkwy Ste G
Stockbridge, GA 30281-6399

Phone

(770) 507-1533

NPI assigned

Jun 4, 2014

Last updated

Jun 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Cole

Title

VP Insurance Plan Management

Phone

(727) 726-1611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1891108114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 EAGLES LANDING PKWY STE G",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 EAGLES LANDING PKWY STE G",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816399",
            "telephone_number": "770-507-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ONE ASSOCIATES (STOCKBRIDGE) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Delice, DDS
• Denise C. de Veranez, M.D., P.C.
• Eric Andrew Dennin, APRN
• Iain Denning
• Christina Denninghoff, PSYD
• Dentistry for Children of Stockbridge II, LLC
• Dentistry for Children of Stockbridge, LLC
• Deployed Tactics
• Depoe Eye Center PC
• Depoe Management, LLC

• Dentist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.