Organization Active NPI

Bridgett L Jorgensen DMD PC

Doing business as North Gwinnett Dental Care

  • General Practice Dentistry
  • Sugar Hill, GA
National Provider Identifier
1184847121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIDGETT L JORGENSEN DMD PC
Doing business as
North Gwinnett Dental Care
Practice address
4955 Alton Tucker Blvd
Suite 600
Sugar Hill, GA 30518-6726
Phone
(770) 932-0992
Fax
(770) 932-9248
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bridgett Lynn Jorgensen, D.M.D.NPI 1306849195
Title
President
Phone
(770) 932-0992

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4955 Alton Tucker Blvd
Suite 600
Sugar Hill, GA 30518-6726

Mailing address

4955 Alton Tucker Blvd
Suite 600
Sugar Hill, GA 30518-6726
Phone (770) 932-0992

Other names 1

  • North Gwinnett Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4955 Alton Tucker Blvd
Ste 600
Sugar Hill, GA 30518
Phone (770) 932-0992

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184847121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 ALTON TUCKER BLVD",
            "address_2": "SUITE 600",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305186726",
            "telephone_number": "770-932-0992",
            "fax_number": "770-932-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 ALTON TUCKER BLVD",
            "address_2": "SUITE 600",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305186726",
            "telephone_number": "770-932-0992",
            "fax_number": "770-932-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETT L JORGENSEN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-932-0992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Gwinnett Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Hill, 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.

Verify at the official NPI Registry.