Nihon Dental Group LLC

Primary specialty

DenturistTaxonomy code 122400000X

License

013638 Issued in GA

Legal business name

NIHON DENTAL GROUP LLC

Practice address

4122 Chattahoochee Trce
Suite 204
Duluth, GA 30097-2132

Phone

(770) 622-2288

NPI assigned

Nov 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Yoshihito Shimizu, DDSNPI 1588060420

Title

Owner

Phone

(770) 272-1818

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Yoshihito Shimizu, D.D.S.

  • Dentist
  • Atlanta, GA
  • NPI 1588060420
  NPD (past) Authorized official

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1992248942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 CHATTAHOOCHEE TRCE",
            "address_2": "SUITE 204",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972132",
            "telephone_number": "770-622-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 CHATTAHOOCHEE TRCE",
            "address_2": "SUITE 204",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972132",
            "telephone_number": "770-622-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIHON DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "SHIMIZU",
        "authorized_official_first_name": "YOSHIHITO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-272-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "GA",
            "license": "013638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Denturist in Duluth, GA
• Providers in Duluth, GA by specialty
• Denturist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.