| NPI | 1144921875 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2023-03-10 |
| Last Updated | 2023-10-04 |
| Authorized Official | Rodney Alles Owner Phone: 9723318079 |
| Mailing Address | Po Box 840925 Dallas, TX 75284-0925 United States Phone: (972) 361-0600 📍 View Map |
| Primary Practice Address | 5855 State Bridge Rd, Ste 300 Johns Creek, GA 30097 United States Phone: (470) 338-5356 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 122300000X – Dentist | - | - |
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About NPI 1144921875
Ideal Dental Johns Creek Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1144921875. The primary specialty listed is Dentist. The organization is located in Johns Creek, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2023-03-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1144921875?
NPI 1144921875 belongs to Ideal Dental Johns Creek Pc, a Dentist in Johns Creek, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1144921875 active?
The current status of NPI 1144921875 in the NPPES registry is Active. The record was last updated on 2023-10-04.
What specialty is NPI 1144921875?
NPI 1144921875 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1144921875?
You can verify NPI 1144921875 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1144921875?
The primary practice address on file for NPI 1144921875 is 5855 State Bridge Rd, Johns Creek, GA 30097. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1144921875 issued?
NPI 1144921875 was first issued (enumerated) on 2023-03-10. The NPPES record was last updated on 2023-10-04.
Practice Location Map
Ideal Dental Johns Creek Pc is located at 5855 State Bridge Rd, Johns Creek, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ideal Dental Johns Creek Pc. All records sourced from the CMS NPPES registry.