Active NPI
Morrow Family Dentistry, P.C.
- Dental Clinic/Center
- Morrow, GA
National Provider Identifier
1902357908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DN013713
- Legal business name
- MORROW FAMILY DENTISTRY, P.C.
- Practice address
- 6319A Jonesboro Road
Morrow, GA 30260 - Phone
- (770) 703-4205
- NPI assigned
- Oct 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ha N. Le, DMD
- Title
- Owner
- Phone
- (770) 703-4205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN013713 | GA | Primary |
Addresses
Primary practice location
6319A Jonesboro Road
Morrow, GA 30260
Mailing address
6319A Jonesboro Rd
Morrow, GA 30260-1730
Phone (770) 703-4205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003110724D | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Morrow, GA
- NPI 1942122635
-
- General Practice Dentistry
- Morrow, GA
- NPI 1194396713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476403200000",
"number": "1902357908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6319A JONESBORO RD",
"city": "MORROW",
"state": "GA",
"postal_code": "302601730",
"telephone_number": "770-703-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6319A JONESBORO ROAD",
"city": "MORROW",
"state": "GA",
"postal_code": "30260",
"telephone_number": "770-703-4205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORROW FAMILY DENTISTRY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-14",
"last_updated": "2016-10-14",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "HA",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-703-4205",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "GA",
"license": "DN013713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003110724D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.