Active NPI
Brooks Cosmetic & Family Dentistry
- General Practice Dentistry
- McDonough, GA
National Provider Identifier
1275625519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BROOKS COSMETIC & FAMILY DENTISTRY
- Practice address
- 70 Westridge Pkwy
Suite 200
McDonough, GA 30253-3048 - Phone
- (678) 583-0330
- Fax
- (678) 583-0660
- NPI assigned
- Sep 28, 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. Robert S Brooks, DDS
- Title
- President
- Phone
- (678) 583-0330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | GA | Primary |
Addresses
Primary practice location
70 Westridge Pkwy
Suite 200
McDonough, GA 30253-3048
Mailing address
70 Westridge Pkwy
Suite 200
McDonough, GA 30253-3048
Phone (678) 583-0330
Other names 1
- Brooks & Maddox Family Dentistry
National Provider Directory
National Provider DirectoryLocations
70 Westridge Pkwy
Ste 200
McDonough, GA 30253
Phone (678) 583-0330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- McDonough, GA
- NPI 1861985574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464048000000",
"number": "1275625519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 WESTRIDGE PKWY",
"address_2": "SUITE 200",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533048",
"telephone_number": "678-583-0330",
"fax_number": "678-583-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 WESTRIDGE PKWY",
"address_2": "SUITE 200",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533048",
"telephone_number": "678-583-0330",
"fax_number": "678-583-0660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS COSMETIC & FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2016-05-24",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-583-0330",
"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": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brooks & Maddox Family Dentistry",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.