{
"Npi": {
"NPI": "1558406272",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CLIFTON",
"FirstName": "SHRENNA",
"MiddleName": "L",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.D.S",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "89 LOWER CREEK TRL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SENOIA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30276-1958",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "177-077-8323",
"MailingAddressFaxNumber": "770-486-0656",
"FirstLinePracticeLocationAddress": "115 GENEVIEVE CT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FAYETTEVILLE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30215-4857",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-486-8229",
"PracticeLocationAddressFaxNumber": "770-486-0656",
"EnumerationDate": "02/20/2007",
"LastUpdateDate": "12/29/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "DN010805",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}