John M. Doris,D.D.S.,P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN007157 Issued in GA

Legal business name

JOHN M. DORIS,D.D.S.,P.A.

Doing business as

John M Doris, D.D.S.,P.A.

Practice address

1121 Johnson Ferry Rd
320
Marietta, GA 30068-5425

Phone

(770) 977-8644

Fax

(770) 971-7953

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Marvin Doris, D.D.S.NPI 1528278801

Title

President

Phone

(770) 977-8644

Specialties & licenses 1

Addresses

Other names 1

• John M Doris, D.D.S.,P.A. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Marvin Doris, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marietta, GA
  • NPI 1528278801
  Authorized official Same address or phone

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306056601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD",
            "address_2": "320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685425",
            "telephone_number": "770-977-8644",
            "fax_number": "770-971-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD",
            "address_2": "320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685425",
            "telephone_number": "770-977-8644",
            "fax_number": "770-971-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. DORIS,D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-977-8644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN007157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John M Doris, D.D.S.,P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magdala Tulcie Jodesty-Jackson, LMSW
• Marina Joel, MD
• Marlys Joel, CSA
• John D. Miller, O.D.,P.C.
• John H. Taylor, D.M.D. P.C.
• John W. Wilson, PSYD, LLC
• Mathew M. John, D.P.M
• Stephen Mammoottil John, O.D.
• Jennifer Christine Johnon, PHARMD
• Sarah Gardiner Johns, MS, ATR-BC, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.