Omega Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OMEGA FAMILY DENTISTRY

Practice address

2851 Cobb Pkwy NW Ste 208
Kennesaw, GA 30152-2717

Phone

(770) 422-9445

Fax

(770) 422-9892

NPI assigned

Dec 23, 2020

Organization subpart

No

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

Authorized official

Name

Adelani Abimbola, DMD

Title

Principal Dentist

Phone

(770) 422-9445

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.

• Danny Vo, DDS

  • General Practice Dentistry
  • Kennesaw, GA
  • NPI 1629181698
  NPD (past)

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1275120289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 COBB PKWY NW STE 208",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522717",
            "telephone_number": "770-422-9445",
            "fax_number": "770-422-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 COBB PKWY NW STE 208",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522717",
            "telephone_number": "770-422-9445",
            "fax_number": "770-422-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "ABIMBOLA",
        "authorized_official_first_name": "ADELANI",
        "authorized_official_title_or_position": "PRINCIPAL DENTIST",
        "authorized_official_telephone_number": "770-422-9445",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Marie Olds, P.T.A
• Tami C Oliver, RPH
• Lynda Garner Olle
• Kola Ologunja
• David Eric Olson, D.M.D.
• Omega Physician Practice LLC
• Omnia Therapy Solutions LLC
• Miranda Omoregie
• On Time Any Lab Test, Inc.
• On Time Medical Supplies Inc

• Dental Clinic/Center in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.