Chamblee Dunwoody Family Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN013457 Issued in GA

Legal business name

CHAMBLEE DUNWOODY FAMILY DENTISTRY LLC

Practice address

3781 Chamblee Dunwoody Road
Chamblee, GA 30341

Phone

(770) 455-6076

Fax

(770) 455-0400

NPI assigned

Sep 23, 2010

Last updated

Sep 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brock Buchanan Westover

Title

Owner/Dentist

Phone

(770) 455-6076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1003124066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 CHAMBLEE DUNWOODY ROAD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "770-455-6076",
            "fax_number": "770-455-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 CHAMBLEE DUNWOODY ROAD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "770-455-6076",
            "fax_number": "770-455-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBLEE DUNWOODY FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "WESTOVER",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "BUCHANAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "770-455-6076",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.