Active NPI
Soh of Georgia Ozf PC
- Dentist
- Norcross, GA
National Provider Identifier
1255807707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SOH OF GEORGIA OZF PC
- Practice address
- 5836 Buford Hwy Ste B
Norcross, GA 30071-2581 - Phone
- (770) 300-0031
- NPI assigned
- Oct 22, 2018
- Last updated
- Oct 22, 2018
- 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
- Ray Weber
- Title
- Support Specialist
- Phone
- (314) 753-8154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
5836 Buford Hwy Ste B
Norcross, GA 30071-2581
Mailing address
1422 Elbridge Payne Rd Ste 240
Chesterfield, MO 63017-8544
Phone (314) 753-8154
National Provider Directory
National Provider DirectoryLocations
5836 Buford Hwy
Ste B
Norcross, GA 30071
Phone (770) 300-0031
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540166400000",
"number": "1255807707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 ELBRIDGE PAYNE RD STE 240",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630178544",
"telephone_number": "314-753-8154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5836 BUFORD HWY STE B",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712581",
"telephone_number": "770-300-0031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOH OF GEORGIA OZF PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-22",
"last_updated": "2018-10-22",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "SUPPORT SPECIALIST",
"authorized_official_telephone_number": "314-753-8154"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.