6 Day Dental Group - Roanoke, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

31033 Issued in TX

Legal business name

6 DAY DENTAL GROUP - ROANOKE, PLLC

Doing business as

6 Day Dental & Orthodontics

Practice address

200 TX-114
Roanoke, TX 76262

Phone

(817) 567-8040

NPI assigned

Jan 9, 2018

Last updated

Jan 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Young Shim, DMDNPI 1790011609

Title

Sole Member

Phone

(404) 512-0760

Specialties & licenses 1

Addresses

Other names 1

• 6 Day Dental & Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young Tae Shim, DMD

  • Dentist
  • Duluth, GA
  • NPI 1790011609
  Authorized official Same address or phone

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1912414251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 OLD GRANDE BLVD STE B224",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034277",
            "telephone_number": "903-509-0505",
            "fax_number": "903-707-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TX-114",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "817-567-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "6 DAY DENTAL GROUP - ROANOKE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "404-512-0760",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "31033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "6 Day Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 6 Day Dental & Orthodontics
• A & P Pharmacy, Inc (Roanoke Pharmacy)
• A & P Pharmacy, Inc (Roanoke Pharmacy)
• Above Average Home Care LLC
• Affinity Smiles Dental, PLLC
• Ifedolapo O Akintoye, PHARMD

• Dental Clinic/Center in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.