Individual provider Active NPI

Hunter Croxton, DMD

  • Dentist
  • Marietta, GA
National Provider Identifier
1891449781
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN122787 Issued in GA
Practice address
1001 Whitlock Ave SW Ste a
Marietta, GA 30064-1971
Phone
(770) 428-5959
Fax
(770) 421-2168
NPI assigned
Feb 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122787 GA Primary

Addresses

Primary practice location

1001 Whitlock Ave SW Ste a
Marietta, GA 30064-1971

Mailing address

1001 Whitlock Ave SW Ste a
Marietta, GA 30064-1971
Phone (770) 428-5959

Other practice location 1

8709 Dallas Acworth Hwy
Dallas, GA 30132-2177
Phone (770) 693-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN122787GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Croxton Dental LLC CurrentSince Feb 25, 2024 Accepting new patients
West Cobb Dental Group PastSince Jul 31, 2023 Accepting new patients

Locations

8709 Dallas Acworth Hwy
Dallas, GA 30132
Phone (678) 894-4944

1001 Whitlock Ave SW
Ste A
Marietta, GA 30064
Phone (770) 428-5959

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1891449781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WHITLOCK AVE SW STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641971",
            "telephone_number": "770-428-5959",
            "fax_number": "770-421-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WHITLOCK AVE SW STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641971",
            "telephone_number": "770-428-5959",
            "fax_number": "770-421-2168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8709 Dallas Acworth Hwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301322177",
            "country_code": "US",
            "telephone_number": "770-693-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROXTON",
        "first_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.