Organization Active NPI

Children'S Dental Care Center, PC

  • Clinic/Center
  • Decatur, GA
National Provider Identifier
1992977615
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DN011370 Issued in GA
Legal business name
CHILDREN'S DENTAL CARE CENTER, PC
Practice address
5000 Snapfinger Woods Dr
Suite B-210
Decatur, GA 30035-4085
Phone
(770) 323-1280
Fax
(770) 323-8622
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Carolyn W. Williams, DDS
Title
Director
Phone
(770) 323-1280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DN011370 GA Primary

Addresses

Primary practice location

5000 Snapfinger Woods Dr
Suite B-210
Decatur, GA 30035-4085

Mailing address

5000 Snapfinger Woods Dr
Suite B-210
Decatur, GA 30035-4085
Phone (770) 323-1280

National Provider Directory

National Provider Directory

Locations

5000 Snapfinger Woods Dr
Ste B210
Decatur, GA 30035
Phone (770) 323-1280

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1992977615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SNAPFINGER WOODS DR",
            "address_2": "SUITE B-210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354085",
            "telephone_number": "770-323-1280",
            "fax_number": "770-323-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SNAPFINGER WOODS DR",
            "address_2": "SUITE B-210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354085",
            "telephone_number": "770-323-1280",
            "fax_number": "770-323-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-323-1280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "DN011370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.