Organization Active NPI

Justin Byron Scott DMD PC

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1972800464
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013787 Issued in GA
Legal business name
JUSTIN BYRON SCOTT DMD PC
Practice address
2285 Peachtree Rd NE
Suite 203
Atlanta, GA 30309-1142
Phone
(404) 901-4707
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Dr. Justin Byron Scott, DMDNPI 1649436312
Title
President
Phone
(404) 901-4707

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN013787 GA Primary

Addresses

Primary practice location

2285 Peachtree Rd NE
Suite 203
Atlanta, GA 30309-1142

Mailing address

2285 Peachtree Rd NE
Suite 203
Atlanta, GA 30309-1142
Phone (404) 901-4707

Other names 1

  • Pure Dental Health Doing business as

National Provider Directory

National Provider Directory

Locations

2285 Peachtree Rd NE
Ste 203
Atlanta, GA 30309
Phone (404) 842-7200

Practitioners & affiliated clinicians

Practitioners 1

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": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1972800464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 PEACHTREE RD NE",
            "address_2": "SUITE 203",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091142",
            "telephone_number": "404-901-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 PEACHTREE RD NE",
            "address_2": "SUITE 203",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091142",
            "telephone_number": "404-901-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN BYRON SCOTT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-901-4707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Dental Health",
            "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 Dec 17, 2014; 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.