Rina M. Mehta, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012655 Issued in GA

Legal business name

RINA M. MEHTA, DMD, PC

Doing business as

Village Dental

Practice address

2500 Dallas Hwy SW
Suite #401
Marietta, GA 30064-2567

Phone

(770) 428-4888

Fax

(770) 428-4009

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By 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

Dr. Rina M Mehta, DMDNPI 1003905811

Title

Owner

Phone

(770) 428-2888

Specialties & licenses 1

Addresses

Other names 1

• Village Dental Doing business as

Locations

Practitioners 1

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.

• Rina M Mehta, DMD

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1003905811
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972692499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY SW",
            "address_2": "SUITE #401",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642567",
            "telephone_number": "770-428-4888",
            "fax_number": "770-428-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY SW",
            "address_2": "SUITE #401",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642567",
            "telephone_number": "770-428-4888",
            "fax_number": "770-428-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINA M. MEHTA, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "RINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-428-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Marietta, GA
• Providers in Marietta, 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 Aug 22, 2020; 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.