Douglas R Wurster, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008564 Issued in GA

Legal business name

DOUGLAS R WURSTER, DDS, PC

Practice address

2183 Northlake Pkwy
Ste 108
Tucker, GA 30084-4108

Phone

(770) 934-4646

Fax

(770) 939-6283

NPI assigned

Sep 6, 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. Douglas R Wurster, DDS

Title

Dentist/President

Phone

(770) 934-4646

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184727109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 NORTHLAKE PKWY",
            "address_2": "STE 108",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844108",
            "telephone_number": "770-934-4646",
            "fax_number": "770-939-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 NORTHLAKE PKWY",
            "address_2": "STE 108",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844108",
            "telephone_number": "770-934-4646",
            "fax_number": "770-939-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS R WURSTER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WURSTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "770-934-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Domingo, LMT
• Donald H. Bohne, DDS, PA
• James Enoch Dopson, M.D.
• Anthony Dorsey, MD
• Beverly Dotson, PHARMD
• Jessica Knight Douglas
• Damien Antoine Doute, MD
• Crystal Yvonne Downs, MA, CCC-SLP
• Dr. Tracy Snowden O.D., P.C.
• Amy Suzanne Duggan, PHARM.D.

• General Practice Dentistry in Tucker, GA
• Providers in Tucker, GA by specialty
• General Practice Dentistry 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.