NPI Code Detail JSON Logo

1982010120 NPI number — ACWORTH CENTER FOR FAMILY DENTISTRY

NPI Number: 1982010120
Health Care Provider/Practitioner: ACWORTH CENTER FOR FAMILY DENTISTRY

Information about “1982010120” NPI (ACWORTH CENTER FOR FAMILY DENTISTRY) exists in 1982010120 in HTML format HTML  |  1982010120 in plain Text format TXT  |  1982010120 in PDF (Portable Document Format) PDF  |  1982010120 in an XML format XML  formats.

NPI Number : 1982010120 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982010120",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ACWORTH CENTER FOR FAMILY DENTISTRY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1867 JONESBORO RD",
    "SecondLineMailingAddress": "SUITE 6",
    "MailingAddressCityName": "MCDONOUGH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30253-6099",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-432-0209",
    "MailingAddressFaxNumber": "404-855-4104",
    "FirstLinePracticeLocationAddress": "3466 COBB PKWY",
    "SecondLinePracticeLocationAddress": "SUITE 170",
    "PracticeLocationAddressCityName": "ACWORTH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30101",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-203-1711",
    "PracticeLocationAddressFaxNumber": "404-855-4104",
    "EnumerationDate": "07/09/2014",
    "LastUpdateDate": "07/09/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NIA",
    "AuthorizedOfficialFirstName": "FARHAD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "GENERAL DENTIST/OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "770-203-1711",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "DN013645",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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