Posh Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

POSH DENTAL, LLC

Practice address

3775 Venture Dr Ste 101
Duluth, GA 30096-5102

Phone

(470) 387-0385

Fax

(678) 550-4999

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Windalisa Joseph

Title

Manager

Phone

(443) 864-9148

Specialties & licenses 1

Addresses

Other names 1

• Smiles By Evolution Doing business as

Locations

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1942919329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 VENTURE DR STE 101",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965102",
            "telephone_number": "470-387-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 VENTURE DR STE 101",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965102",
            "telephone_number": "470-387-0385",
            "fax_number": "678-550-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSH DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "WINDALISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-864-9148"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles By Evolution",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.