Preston Durham Shurley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN-122237 Issued in GA

Practice address

1858 Independence SQ Ste a
Dunwoody, GA 30338-5169

Phone

(770) 458-3600

NPI assigned

Aug 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1902321458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 INDEPENDENCE SQ STE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385169",
            "telephone_number": "770-458-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 INDEPENDENCE SQ STE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385169",
            "telephone_number": "770-458-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bodin Cir",
            "address_purpose": "LOCATION",
            "city": "Travis AFB",
            "state": "CA",
            "postal_code": "945351809",
            "country_code": "US",
            "telephone_number": "707-423-7008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHURLEY",
        "first_name": "PRESTON",
        "middle_name": "DURHAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-06",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16501",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN-122237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius Sherwinter, MD
• Bradley Andrew Shessel, D.M.D.
• Tamaira Shinnick, LMSW
• Richard A Shmerling, MD
• Janice R Shuford, LCSW
• Robert Silvestri
• Amanda R Simmons
• Sidney M Simpkins, MD
• Alexis Taylor Smith, PNP-PC, PMHNP-BC
• Donnika Smith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.