Georgia Dental Wellness LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GEORGIA DENTAL WELLNESS LLC

Practice address

3535 Roswell Rd Ste 22
Marietta, GA 30062-6252

Phone

(770) 973-0141

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Supreet Kaur, DDSNPI 1548814023

Title

Owner Dentist

Phone

(814) 881-3180

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Supreet Kaur, DDS

  • Dentist
  • Bellevue, PA
  • NPI 1548814023
  NPD Authorized official
• Clifford J Morton, D.D.S.,P.C.

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1922183904
  NPD (past)

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1215700224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 ROSWELL RD STE 22",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626252",
            "telephone_number": "814-881-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROSWELL RD STE 22",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626252",
            "telephone_number": "770-973-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "SUPREET",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "814-881-3180",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Georgia Detox and Recovery, LLC
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• Georgia Eye Specialists
• Georgia Healthcare Solutions, LLC. (Brightstar Healthcare)
• Georgia Healthy Minds LLC

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, 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 Nov 1, 2023; 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.