Peoples Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

012135 Issued in GA

Legal business name

PEOPLES DENTAL CENTER

Practice address

360 Kendemere Pointe
Roswell, GA 30075-7667

Phone

(678) 923-6800

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Michael Lee II, DMD

Title

Owner

Phone

(770) 606-8805

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1912170374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MARKET SQ",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202854",
            "telephone_number": "770-606-8805",
            "fax_number": "770-606-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 KENDEMERE POINTE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757667",
            "telephone_number": "678-923-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-606-8805",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "012135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.