Kezia Varghese, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN123321 Issued in GA

Practice address

890 Dawsonville Hwy Ste F
Gainesville, GA 30501-2607

Phone

(943) 473-3854

NPI assigned

Jan 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1255101507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 JEFFERSON CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053828",
            "telephone_number": "770-330-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 DAWSONVILLE HWY STE F",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012607",
            "telephone_number": "943-473-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "KEZIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Anne Van Rossem, CRNA
• Alexis Vanbastelaer, AGACNP
• Carol Lynne Vanbuul, AGACNP
• Laura Elizabeth Vanhook, FNP-BC
• Julia Varghese I, AGPCNP
• Marissa Varghese
• Merin Varghese, M.D.
• William Matthew Vassy, M.D.
• Courtney Vaughan, PA
• Emily R. Vaughan, NP-C

• Dentist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.