Ericka M Edmonds, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012833 Issued in GA

Practice address

3890 Redwine Rd SW
Suite 108
Atlanta, GA 30331-5582

Phone

(404) 344-7645

Fax

(404) 574-6725

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Camp Creek Smiles

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1922195155
  NPD (past) Authorized official
• Camp Creek Smiles Family Dentistry

  • Dental Clinic/Center
  • Atlanta, GA
  • NPI 1770811713
  NPD (past)
• Georgia Dental Professionals, PC

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1992861637
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1952360265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 COMMERCE DR",
            "address_2": "STE. 513",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302627",
            "telephone_number": "404-377-7711",
            "fax_number": "404-377-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW",
            "address_2": "SUITE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315582",
            "telephone_number": "404-344-7645",
            "fax_number": "404-574-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "ERICKA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgewood Smiles Dentistry, PC
• Constance Ediale, MD
• Edifiers
• Scott L Ediger, MD
• Stephanie Edlhuber, CPNP
• Holly Dickson Edmonds, M.D.
• Jillian Edmondson
• Benjamin J. Edner, PH.D.
• Indigo Renesha-Annette Edner, RN
• John Christopher Edney, MD

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, 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 Jul 26, 2010; 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.