Haven Dental Care Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HAVEN DENTAL CARE GROUP LLC

Practice address

3312 Peachtree Industrial Blvd Ste 8
Duluth, GA 30096-8100

Phone

(770) 545-8647

Fax

(770) 545-8648

NPI assigned

Feb 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Thomas T Lee, DDS

Title

Dentist

Phone

(770) 624-4912

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1952008179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 PEACHTREE INDUSTRIAL BLVD STE 8",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968100",
            "telephone_number": "770-545-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 PEACHTREE INDUSTRIAL BLVD STE 8",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968100",
            "telephone_number": "770-545-8647",
            "fax_number": "770-545-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN DENTAL CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-624-4912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seymore Harrison Jr.
• Lois Kaine Harry, M.D.
• Danny R. Hason, PHARM.D.
• Tiffany Hassell, REGISTERED NURSE
• Jericha Jouane Hatten
• Haven Dental Care, P.C.
• Richard Matthew Hawk
• Denise L Hawkins, PHD, LPC, NCC
• Kelli Renee Hawkins, RBT
• Sarah Hawkins

• 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 Feb 8, 2023; 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.