D4C of Georgia LLC Lisa Shilman Sole MBR

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

D4C OF GEORGIA LLC LISA SHILMAN SOLE MBR

Practice address

5505 Peachtree Dunwoody Rd Ste 470
Atlanta, GA 30342-1717

Phone

(770) 692-1000

NPI assigned

Nov 30, 2021

Last updated

Nov 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joann Rice

Title

Credentialing Manager

Phone

(609) 315-3851

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1972261618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BRANDYWINE RD STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415549",
            "telephone_number": "770-692-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421717",
            "telephone_number": "770-692-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D4C OF GEORGIA LLC LISA SHILMAN SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "609-315-3851"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree D'Moore
• Carl Joseph D'Orsi, M.D.
• Elizabeth Liu D'Souza, PA-C
• Melroy Savio D'Souza, MD
• D1Strong-the Journey Inc (Rise Neurorehab Institute)
• Addison Grace Da Camara
• Da Core Solutio
• Juliana Da Silva, CPNP-PC
• Juliana De Fatima Da Silva, MD
• Loren Pilar Dabbs

• Pediatric Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.