NPIMap

Organization Active NPI

Peachtree Smiles II PC

Doing business as peachtree Smiles

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1952973216
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PEACHTREE SMILES II PC
Doing business as
peachtree Smiles
Practice address
1720 Peachtree St NW Ste 632
Atlanta, GA 30309-2450
Phone
(404) 410-1039
NPI assigned
Jul 15, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Mr. Kenneth Tralongo, DDS
Title
President
Phone
(516) 662-5716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1720 Peachtree St NW Ste 632
Atlanta, GA 30309-2450

Mailing address

1720 Peachtree St NW Ste 632
Atlanta, GA 30309-2450
Phone (404) 410-1039

Other names 1

  • peachtree Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1720 Peachtree St NW
Ste 632
Atlanta, GA 30309
Phone (404) 410-1039

Practitioners & affiliated clinicians

Practitioners 3

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": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1952973216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 632",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092450",
            "telephone_number": "404-410-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 632",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092450",
            "telephone_number": "404-410-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE SMILES II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "TRALONGO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-662-5716",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "peachtree Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.