Organization Active NPI

Dental Center of Carrollton

  • Prosthetic/Orthotic Supplier
  • Carrollton, GA
National Provider Identifier
1962876532
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
DN010873 Issued in GA
Legal business name
DENTAL CENTER OF CARROLLTON
Practice address
409 Dixie St
Carrollton, GA 30117-3921
Phone
(770) 834-9682
Fax
(770) 836-0622
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Dr. Betsy S Ayers, D.M.D.NPI 1295942886
Title
Dentist/Owner
Phone
(770) 834-9682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X DN010873 GA Primary

Addresses

Primary practice location

409 Dixie St
Carrollton, GA 30117-3921

Mailing address

409 Dixie St
Carrollton, GA 30117-3921
Phone (770) 834-9682

Other names 1

  • Betsy S Ayers, D.M.D. PC Other name

National Provider Directory

National Provider Directory

Locations

409 Dixie St
Carrollton, GA 30117
Phone (770) 834-9682

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1962876532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173921",
            "telephone_number": "770-834-9682",
            "fax_number": "770-836-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173921",
            "telephone_number": "770-834-9682",
            "fax_number": "770-836-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF CARROLLTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "770-834-9682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "DN010873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Betsy S Ayers, D.M.D. PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.