Organization Active NPI

New Image Dental Group

  • Dental Clinic/Center
  • Bogart, GA
National Provider Identifier
1194996736
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN013040 Issued in GA
Legal business name
NEW IMAGE DENTAL GROUP
Practice address
1040 Garland Dr Ste 200
Bogart, GA 30622-3201
Phone
(770) 725-7377
NPI assigned
Mar 21, 2008
Last updated
Mar 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Jonathan Hwang
Title
DMD
Phone
(770) 725-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN013040 GA Primary

Addresses

Primary practice location

1040 Garland Dr Ste 200
Bogart, GA 30622-3201

Mailing address

1040 Garland Dr Ste 200
Bogart, GA 30622-3201

National Provider Directory

National Provider Directory

Locations

1040 Garland Dr
Ste 200
Bogart, GA 30622
Phone (678) 661-0709

Practitioners & affiliated clinicians

Practitioners 4

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": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1194996736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GARLAND DR STE 200",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306223201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GARLAND DR STE 200",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306223201",
            "telephone_number": "770-725-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "770-725-7377",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.