Roswell Family Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9263 Issued in GA

Legal business name

ROSWELL FAMILY DENTISTRY PC

Practice address

380 Market PL
Suite 200
Roswell, GA 30075-3943

Phone

(770) 998-6000

Fax

(770) 993-5200

NPI assigned

Dec 1, 2006

Last updated

Aug 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anne Koenig, DDSNPI 1053761767

Title

Owner

Phone

(770) 998-6000

Specialties & licenses 1

Addresses

Locations

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.

• Anne Koenig, DDS

  • Dentist
  • Roswell, GA
  • NPI 1053761767
  NPD (past) Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1255409157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MARKET PLACE",
            "address_2": "SUITE 200",
            "city": "ROSWELL G",
            "state": "GA",
            "postal_code": "300753943",
            "telephone_number": "770-998-6000",
            "fax_number": "770-993-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MARKET PL",
            "address_2": "SUITE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753943",
            "telephone_number": "770-998-6000",
            "fax_number": "770-993-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-998-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roswell Dental LLC (Roswell Complete Dentistry)
• Roswell Dental Smiles
• Roswell Dental Studio PC
• Roswell Emergency Care Center
• Roswell Eye Clinic,Inc
• Roswell Health & Injury Center, Inc.
• Roswell Home Care LLC
• Roswell Lakes Counseling and Consulting LLC
• Roswell Medical Group, LLC
• Roswell Pain Specialists

• General Practice Dentistry in Roswell, GA
• Providers in Roswell, 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 Aug 6, 2015; 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.