Jeffrey R. Prinsell, DMD, MD, P.C.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DN 010735 Issued in GA

Legal business name

JEFFREY R. PRINSELL, DMD, MD, P.C.

Practice address

1950 Spectrum Cir SE Ste B300
Marietta, GA 30067-1657

Phone

(770) 956-9856

Fax

(770) 956-9879

NPI assigned

Jul 17, 2006

Last updated

Aug 22, 2020By 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. Jeffrey R Prinsell, DMD, MD

Title

Oral & Maxillofacial Surgeon /Owner

Phone

(770) 956-9856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164449898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SPECTRUM CIR SE STE B300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300671657",
            "telephone_number": "770-956-9856",
            "fax_number": "770-956-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SPECTRUM CIR SE STE B300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300671657",
            "telephone_number": "770-956-9856",
            "fax_number": "770-956-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R. PRINSELL, DMD, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRINSELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ORAL & MAXILLOFACIAL SURGEON /OWNER",
        "authorized_official_telephone_number": "770-956-9856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN 010735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Susan Jeffers, LPC MED EDS
• Allahni Jefferson, LMSW
• Latasha Devonne Jefferson, FNP
• Dana Jeffery, BCBA
• Steven Christopher Jeffery
• Marisa Anne Jendras
• Ansley Jenkins, PA
• Asia Jenkins, RBT
• Dana Elizabeth Jenkins, PHARMD
• Daronne Jenkins, DPT

• Oral and Maxillofacial Surgery Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Georgia

• 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.

Verify at the official NPI Registry.