Fairview Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN015055 Issued in GA

Legal business name

FAIRVIEW DENTAL LLC

Practice address

210 Fairview Rd
Ellenwood, GA 30294-2704

Phone

(281) 728-5042

NPI assigned

Jun 25, 2018

Organization subpart

Yes

Parent organization

AMTECH DENTAL LLCAs reported in NPPES

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

Authorized official

Name

Ami Patel, DDSNPI 1326427550

Title

Dentist

Phone

(281) 728-5042

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ami Patel, DDS

  • General Practice Dentistry
  • Ellenwood, GA
  • NPI 1326427550
  NPD Authorized official

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1891280673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FAIRVIEW RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942704",
            "telephone_number": "281-728-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FAIRVIEW RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942704",
            "telephone_number": "281-728-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMTECH DENTAL LLC",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-728-5042",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN015055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Espresso Culture
• Essential Touch Self Care, LLC
• Nsikak Alex Essienumoh, DPT
• Fairview Chiropractic Center
• Fairview Chiropractic Center, LLC
• Fairview Urgent Care, LLC
• Arthur Ivey Few
• Ermese Finnie-Sital
• Levette Fleming, R.PH.
• Arnell Rorie Footman

• Dental Clinic/Center in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.