Organization Active NPI

Beautiful Smiles Family Dentistry, DDS, PC

  • General Practice Dentistry
  • Lithonia, GA
National Provider Identifier
1932280237
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEAUTIFUL SMILES FAMILY DENTISTRY, DDS, PC
Practice address
8200 Mall Pkwy
Suite #155
Lithonia, GA 30038-6983
Phone
(770) 484-4051
Fax
(770) 484-4052
NPI assigned
Oct 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amber Jenkins Dabney, DDS
Title
Owner
Phone
(770) 484-4051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8200 Mall Pkwy
Suite #155
Lithonia, GA 30038-6983

Mailing address

8200 Mall Pkwy
Suite #155
Lithonia, GA 30038-6983
Phone (770) 484-4051

National Provider Directory

National Provider Directory

Locations

8200 Mall Pkwy
Ste 155
Lithonia, GA 30038
Phone (770) 484-4051

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932280237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 MALL PKWY",
            "address_2": "SUITE #155",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386983",
            "telephone_number": "770-484-4051",
            "fax_number": "770-484-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 MALL PKWY",
            "address_2": "SUITE #155",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386983",
            "telephone_number": "770-484-4051",
            "fax_number": "770-484-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILES FAMILY DENTISTRY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DABNEY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "JENKINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-484-4051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.