Fayetteville Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN04542 Issued in GA

Legal business name

FAYETTEVILLE ORTHODONTICS LLC

Practice address

320 N Jeff Davis Dr
Suite C
Fayetteville, GA 30214-1669

Phone

(770) 460-6000

NPI assigned

Dec 8, 2016

Last updated

Dec 8, 2016By 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

Ruchir Patel, DDS

Title

Orthodontist

Phone

(770) 460-6000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1891239919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N JEFF DAVIS DR",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N JEFF DAVIS DR",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141669",
            "telephone_number": "770-460-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUCHIR",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "770-460-6000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN04542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayette Surgical Associates
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• Fayetteville Center for Nursing & Healing LLC
• Fayetteville Dental Group
• Fayetteville Ga Opco LLC (Condor Health Lafayette)
• Fayetteville Pediatric Dentistry
• Fayetteville Rehab Solutions LLC
• Fayetteville Smiles Dentistry, PC (Fayetteville Smiles Dentistry)
• Hafiza Fazal
• Trevor Feinstein, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.