David L. Vautin, DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010713 Issued in GA

Legal business name

DAVID L. VAUTIN, DMD, LLC

Practice address

119 E Center St
Carrollton, GA 30117-3302

Phone

(770) 832-1311

Fax

(770) 836-0179

NPI assigned

Sep 26, 2013

Last updated

Sep 26, 2013By 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

Lori Spence

Title

Practice Manager

Phone

(770) 832-1311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1932536661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E CENTER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173302",
            "telephone_number": "770-832-1311",
            "fax_number": "770-836-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E CENTER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173302",
            "telephone_number": "770-832-1311",
            "fax_number": "770-836-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. VAUTIN, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-832-1311"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D.B.a. Sand Hill Pediatrics
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• David P. Hartley,M.D., P.C.
• Autumn Deese Davis, P.A.-C
• Charles Hoyt Davis III, MD
• Jessica Paige Davis, LPC
• Lee Jefferson Davis, MA, LPC

• General Practice Dentistry in Carrollton, GA
• Providers in Carrollton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.