NPIMap

Organization Active NPI

Peachtree Endodontics, P.C.

  • Endodontics
  • Peachtree City, GA
National Provider Identifier
1992729552
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN012892 Issued in GA
Legal business name
PEACHTREE ENDODONTICS, P.C.
Practice address
1401 Georgian Park
Suite 100
Peachtree City, GA 30269-6973
Phone
(770) 631-2728
Fax
(770) 631-2714
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Dr. George Brown Jr., D.M.D.,M.S.D.NPI 1356788608
Title
President/Owner
Phone
(770) 631-2728

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN012892 GA Primary

Addresses

Primary practice location

1401 Georgian Park
Suite 100
Peachtree City, GA 30269-6973

Mailing address

1401 Georgian Park
Suite 100
Peachtree City, GA 30269-6973
Phone (770) 631-2728

National Provider Directory

National Provider Directory

Locations

1401 Georgian Park
Ste 100
Peachtree City, GA 30269
Phone (770) 631-2728

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1992729552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GEORGIAN PARK",
            "address_2": "SUITE 100",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696973",
            "telephone_number": "770-631-2728",
            "fax_number": "770-631-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GEORGIAN PARK",
            "address_2": "SUITE 100",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696973",
            "telephone_number": "770-631-2728",
            "fax_number": "770-631-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-631-2728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D.,M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN012892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.