Organization Active NPI

Magualie J. Woollery, D.M.D., P.C.

Doing business as Contemporary Dentistry

  • Dental Clinic/Center
  • Loganville, GA
National Provider Identifier
1023135738
Registry record updated Jun 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN012142 Issued in GA
Legal business name
MAGUALIE J. WOOLLERY, D.M.D., P.C.
Doing business as
Contemporary Dentistry
Practice address
7760 Hampton PL
Building 6
Loganville, GA 30052-6770
Phone
(678) 639-0080
Fax
(678) 639-0088
NPI assigned
Mar 26, 2007
Last updated
Jun 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2012

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

Authorized official

Name
Dr. Magualie Joseph Woollery, D.M.D.NPI 1649607011
Title
Owner
Phone
(678) 639-0080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN012142 GA Primary

Addresses

Primary practice location

7760 Hampton PL
Building 6
Loganville, GA 30052-6770

Mailing address

7760 Hampton PL
Building 6
Loganville, GA 30052-6770
Phone (678) 639-0080

Other names 1

  • Contemporary Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

7760 Hampton Pl
Bldg 6
Loganville, GA 30052
Phone (678) 639-0080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339200000000",
    "number": "1023135738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 HAMPTON PL",
            "address_2": "BUILDING 6",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526770",
            "telephone_number": "678-639-0080",
            "fax_number": "678-639-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 HAMPTON PL",
            "address_2": "BUILDING 6",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526770",
            "telephone_number": "678-639-0080",
            "fax_number": "678-639-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGUALIE J. WOOLLERY, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-06-09",
        "status": "A",
        "authorized_official_last_name": "WOOLLERY",
        "authorized_official_first_name": "MAGUALIE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-639-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN012142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contemporary Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2012; 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.