Individual provider Active NPI

Marilyn S Gaylor, D.D.S.

  • Dentist
  • Atlanta, GA
National Provider Identifier
1992990931
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9928 Issued in GA
Practice address
3280 Howell Mill Rd NW
Suite 335
Atlanta, GA 30327-4111
Phone
(404) 351-8790
Fax
(404) 351-5694
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9928 GA Primary

Addresses

Primary practice location

3280 Howell Mill Rd NW
Suite 335
Atlanta, GA 30327-4111

Mailing address

3280 Howell Mill Rd NW
Suite 335
Atlanta, GA 30327-4111
Phone (404) 351-8790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1992990931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "SUITE 335",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "404-351-8790",
            "fax_number": "404-351-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "SUITE 335",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "404-351-8790",
            "fax_number": "404-351-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLOR",
        "first_name": "MARILYN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "9928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 12, 2007; 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.