Organization Active NPI

Soh of Georgia Ozf PC

  • Dentist
  • Norcross, GA
National Provider Identifier
1255807707
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.