Active NPI
Nexdental Associates Woodstock LLC
- General Practice Dentistry
- Woodstock, GA
National Provider Identifier
1003952128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NEXDENTAL ASSOCIATES WOODSTOCK LLC
- Practice address
- 8950 Main St Ste 120
Woodstock, GA 30188-4916 - Phone
- (770) 926-4447
- Fax
- (770) 924-6813
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gustave Joseph Peluso III, DMD
- Title
- 100 Managing Member
- Phone
- (770) 926-4447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
8950 Main St Ste 120
Woodstock, GA 30188-4916
Mailing address
8950 Main St Ste 120
Woodstock, GA 30188-4916
Phone (770) 926-4447
National Provider Directory
National Provider DirectoryLocations
8950 Main St
Ste 120
Woodstock, GA 30188
Phone (770) 926-4447
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Woodstock, GA
- NPI 1336552173
-
- General Practice Dentistry
- Woodstock, GA
- NPI 1124697073
-
- Dentist
- Dawsonville, GA
- NPI 1083146542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003952128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 MAIN ST STE 120",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884916",
"telephone_number": "770-926-4447",
"fax_number": "770-924-6813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 MAIN ST STE 120",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884916",
"telephone_number": "770-926-4447",
"fax_number": "770-924-6813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXDENTAL ASSOCIATES WOODSTOCK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PELUSO",
"authorized_official_first_name": "GUSTAVE",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "100 MANAGING MEMBER",
"authorized_official_telephone_number": "770-926-4447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.