Organization Active NPI

Family Dentistry of Bartow Couty

  • General Practice Dentistry
  • Cartersville, GA
National Provider Identifier
1336428135
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20110529628 Issued in GA
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

Updated by the provider on Aug 10, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 County2 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.

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

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.

Verify at the official NPI Registry.