Organization Active NPI

Morrow Family Dentistry, P.C.

  • Dental Clinic/Center
  • Morrow, GA
National Provider Identifier
1902357908
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN013713 Issued in GA
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

Updated by the provider on Oct 14, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003110724DMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.