Active NPI
Imagix 1 Dental
- Dentist
- Alpharetta, GA
National Provider Identifier
1255436994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 009491
- Legal business name
- IMAGIX 1 DENTAL
- Practice address
- 10945 State Bridge Road
402
Alpharetta, GA 30022-8164 - Phone
- (770) 569-0529
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eugene Witkin, DDS
- Title
- Dentist/Owner
- Phone
- (770) 569-0529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 009491 | GA | Primary |
Addresses
Primary practice location
10945 State Bridge Road
402
Alpharetta, GA 30022-8164
Mailing address
10945 State Bridge Road
402
Alpharetta, GA 30022-8164
Phone (770) 569-0529
National Provider Directory
National Provider DirectoryLocations
10945 State Bridge Rd
Ste 402
Johns Creek, GA 30022
Phone (770) 569-0529
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Alpharetta, GA
- NPI 1972657245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255436994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10945 STATE BRIDGE ROAD",
"address_2": "402",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300228164",
"telephone_number": "770-569-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10945 STATE BRIDGE ROAD",
"address_2": "402",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300228164",
"telephone_number": "770-569-0529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGIX 1 DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WITKIN",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "770-569-0529",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "GA",
"license": "009491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.