Organization Active NPI

Dunwoody Northeast Dentistry, LLC

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1225435001
Registry record updated Nov 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN014380 Issued in GA
Legal business name
DUNWOODY NORTHEAST DENTISTRY, LLC
Practice address
4675 N Shallowford Rd
Suite #118
Atlanta, GA 30338-6309
Phone
(770) 452-0222
NPI assigned
Nov 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2014

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

Authorized official

Name
Dr. Janice Chaw, DMD
Title
Member
Phone
(410) 709-8618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN014380 GA Primary

Addresses

Primary practice location

4675 N Shallowford Rd
Suite #118
Atlanta, GA 30338-6309

Mailing address

7350 Talbot Colony
Atlanta, GA 30328-1625
Phone (410) 709-8618

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416614400000",
    "number": "1225435001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 TALBOT COLONY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281625",
            "telephone_number": "410-709-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 N SHALLOWFORD RD",
            "address_2": "SUITE #118",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386309",
            "telephone_number": "770-452-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNWOODY NORTHEAST DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-22",
        "last_updated": "2014-11-22",
        "status": "A",
        "authorized_official_last_name": "CHAW",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-709-8618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN014380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; 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.