NPIMap

Organization Active NPI

Eric Jacobs DMD LLC

Doing business as Dogwood Dental

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1073339024
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERIC JACOBS DMD LLC
Doing business as
Dogwood Dental
Practice address
2421 Shallowford Rd Ste 146
Marietta, GA 30066-2013
Phone
(770) 926-6886
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Dr. Eric Jacobs, DMDNPI 1942613393
Title
Dentist Owner
Phone
(770) 926-6886

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

2421 Shallowford Rd Ste 146
Marietta, GA 30066-2013

Mailing address

2421 Shallowford Rd Ste 146
Marietta, GA 30066-2013
Phone (770) 926-6886

Other names 1

  • Dogwood Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2421 Shallowford Rd
Ste 146
Marietta, GA 30066
Phone (770) 926-6886

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1073339024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 SHALLOWFORD RD STE 146",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662013",
            "telephone_number": "770-926-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 SHALLOWFORD RD STE 146",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662013",
            "telephone_number": "770-926-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC JACOBS DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "770-926-6886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dogwood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.