Jamestown Condottiere Implant & General Dentistry Ctr. P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011947 Issued in GA

Legal business name

JAMESTOWN CONDOTTIERE IMPLANT & GENERAL DENTISTRY CTR. P.C.

Practice address

8737 Dunwoody Place Suite #3
Atlanta, GA 30350-2985

Phone

(404) 767-9356

Fax

(404) 529-4465

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Aldous Wilson

Title

Owner

Phone

(404) 767-9356

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jamestown Condottiere Implant General Dentistry Ctr 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.

• Jamestown Condottiere Implant&General Dentistry Ctr. P.C.

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1801069240
  NPD tax ID

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1326211657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 DUNWOODY PL STE 3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502985",
            "telephone_number": "404-767-9356",
            "fax_number": "404-529-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 DUNWOODY PLACE SUITE #3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502985",
            "telephone_number": "404-767-9356",
            "fax_number": "404-529-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN CONDOTTIERE IMPLANT & GENERAL DENTISTRY CTR. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ALDOUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-767-9356"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00809025B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Avis James, PH.D.
• Walter Simeon James, M.D.
• Alec Nicholas Jameson, PA-C
• Margaret Winter Jameson, APC, M.S.,NCC
• Sterling Jameson, MSN, APRN, AGACNP-BC
• Jamestown Condottiere Implant&General Dentistry Ctr. P.C.
• Celine Jamieson, DC
• Denise Jamieson, MD
• Eric Coleman Jamison Jr.
• Timothy Jamison, PTA

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, 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 Apr 8, 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.