Buford Hwy Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13219 Issued in GA

Legal business name

BUFORD HWY FAMILY DENTAL PC

Practice address

5659 Buford Hwy NE
#208
Doraville, GA 30340-1200

Phone

(770) 986-2600

Fax

(770) 986-5260

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Adrianne Nicole Dye

Title

Office Manager

Phone

(770) 986-2600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1982964193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 BUFORD HWY NE",
            "address_2": "#208",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401200",
            "telephone_number": "770-986-2600",
            "fax_number": "770-986-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 BUFORD HWY NE",
            "address_2": "#208",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401200",
            "telephone_number": "770-986-2600",
            "fax_number": "770-986-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFORD HWY FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-986-2600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "13219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Doraville, GA
• Providers in Doraville, 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 May 22, 2012; 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.