Individual provider Active NPI

Anglea Slone, DMD

  • Dentist
  • Duluth, GA
National Provider Identifier
1932116548
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011450 Issued in GA
Practice address
9590 Medlock BR Rd
Ste D
Duluth, GA 30097
Phone
(770) 495-9004
Fax
(770) 495-1422
NPI assigned
Aug 3, 2006
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 011450 GA Primary

Addresses

Primary practice location

9590 Medlock BR Rd
Ste D
Duluth, GA 30097

Mailing address

9590 Medlock Bridge Rd
Suite D
Johns Creek, GA 30097-4443
Phone (770) 495-9004

Other names 1

  • Anglea Slone Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011450GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anglea Slone DMD PC PastSince Jan 27, 1998 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1932116548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 MEDLOCK BRIDGE RD",
            "address_2": "SUITE D",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974443",
            "telephone_number": "770-495-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9590 MEDLOCK BR RD",
            "address_2": "STE D",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "770-495-9004",
            "fax_number": "770-495-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLONE",
        "first_name": "ANGLEA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "011450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGLEA",
            "last_name": "SLONE",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.