Active NPI
Family Dentistry of Bartow Couty
- General Practice Dentistry
- Cartersville, GA
National Provider Identifier
1336428135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20110529628
- Legal business name
- FAMILY DENTISTRY OF BARTOW COUTY
- Practice address
- 212 E Church St
Cartersville, GA 30120-3310 - Phone
- (770) 382-1215
- Fax
- (770) 382-1244
- NPI assigned
- Aug 10, 2011
- 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
- Fadi Obeid, DMD
- Title
- Owner
- Phone
- (678) 256-6304
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20110529628 | GA | Primary |
Addresses
Primary practice location
212 E Church St
Cartersville, GA 30120-3310
Mailing address
212 E Church St
Cartersville, GA 30120-3310
Phone (770) 382-1215
National Provider Directory
National Provider Directory- Tax ID family
- Family Dentistry of Bartow County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Cartersville, GA
- NPI 1376985606
Locations
212 E Church St
Cartersville, GA 30120
Phone (770) 382-1215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312934400000",
"number": "1336428135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E CHURCH ST",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203310",
"telephone_number": "770-382-1215",
"fax_number": "770-382-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E CHURCH ST",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203310",
"telephone_number": "770-382-1215",
"fax_number": "770-382-1244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY DENTISTRY OF BARTOW COUTY",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A",
"authorized_official_last_name": "OBEID",
"authorized_official_first_name": "FADI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-256-6304",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "20110529628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
- Rose Falcone Dowie, LPC
- Sabrina Dutch Falkenhagen, LCSW
- Family Care of Cartersville PC
- Family Couseling and Recovery Center Inc
- Family Dentistry of Bartow County
- Family First Vision Care Georgia PLLC
- Family Health Center PC
- Family Relief Home Health Group Inc.
- Elizabeth Farmer, PT, ATC
- Karen Denese Faulkner, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.