NPIMap

Organization Active NPI

Windy Hill Dental Associates, P.C.

  • Dentist
  • Atlanta, GA
National Provider Identifier
1912200528
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN008548 Issued in GA
Legal business name
WINDY HILL DENTAL ASSOCIATES, P.C.
Practice address
2070 S Park PL SE
Suite 330
Atlanta, GA 30339-2045
Phone
(770) 955-1188
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Lori Spence
Title
Coo
Phone
(770) 312-5167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN008548 GA Primary

Addresses

Primary practice location

2070 S Park PL SE
Suite 330
Atlanta, GA 30339-2045

Mailing address

2070 S Park PL SE
Suite 330
Atlanta, GA 30339-2045
Phone (770) 955-1188

National Provider Directory

National Provider Directory

Locations

2070 S Park Pl SE
Ste 330
Atlanta, GA 30339
Phone (770) 955-1188

Practitioners & affiliated clinicians

Practitioners 1

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": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1912200528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 S PARK PL SE",
            "address_2": "SUITE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392045",
            "telephone_number": "770-955-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 S PARK PL SE",
            "address_2": "SUITE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392045",
            "telephone_number": "770-955-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY HILL DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-312-5167"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN008548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.