Organization Active NPI

Dr. William H. Dellinger Jr.

  • Dentist
  • McDonough, GA
National Provider Identifier
1275924771
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. WILLIAM H. DELLINGER JR.
Practice address
97 Atlanta St
Suite 200
McDonough, GA 30253-2192
Phone
(770) 954-1180
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Ann M. Raudonis
Title
Office Manager
Phone
(770) 954-1180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

97 Atlanta St
Suite 200
McDonough, GA 30253-2192

Mailing address

97 Atlanta St
Suite 200
McDonough, GA 30253-2192
Phone (770) 954-1180

National Provider Directory

National Provider Directory

Locations

97 Atlanta St
Ste 200
McDonough, GA 30253
Phone (770) 954-1180

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1275924771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ATLANTA ST",
            "address_2": "SUITE 200",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532192",
            "telephone_number": "770-954-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ATLANTA ST",
            "address_2": "SUITE 200",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532192",
            "telephone_number": "770-954-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WILLIAM H. DELLINGER JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "RAUDONIS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-954-1180"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 5, 2015; 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.