Carterville Dental Group, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013063 Issued in GA

Legal business name

CARTERVILLE DENTAL GROUP, P.C.

Practice address

22 Felton PL
Cartersville, GA 30120-2152

Phone

(770) 387-1277

Fax

(770) 387-2327

NPI assigned

Apr 10, 2007

Last updated

Oct 6, 2008By 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

Ms. Lisa D. Jones

Title

Cfo

Phone

(770) 387-1277

Specialties & licenses 1

Addresses

Other names 1

• Wise Family Cosmetic Dentistry, P.C. Former legal business name

Tax ID family

Cartersville Dental Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cartersville Dental Group, P.C.

  dba Dr Karen Wise

  • Dentist
  • Cartersville, CA
  • NPI 1154604361
  NPD tax ID

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.

• Karen Patricia Wise, DDS

  • Dentist
  • Cartersville, GA
  • NPI 1508029984
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1316160245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FELTON PL",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202152",
            "telephone_number": "770-387-1277",
            "fax_number": "770-387-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FELTON PL",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202152",
            "telephone_number": "770-387-1277",
            "fax_number": "770-387-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERVILLE DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-387-1277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Family Cosmetic Dentistry, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cartersville Surgical Associates, P.C.
• Cartersville Urgent Care LLC
• Cartersville Wellness Diagnostics (American Wellness Diagnostics)
• Cartersvillesmiles, LLC
• Cartersvulle Vision (Pearle Vision)
• Rachelrui Cashen, PA
• Matthew Lyle Cason
• Jessica Castleberry, MD
• Cathleen Shepherd (Pediatric Occupational Therapy)
• Sharon Myers Cauthen, RN

• General Practice Dentistry in Cartersville, GA
• Providers in Cartersville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.