Dr John Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DN011795 Issued in GA

Legal business name

DR JOHN FAMILY DENTISTRY

Practice address

550 Franklin Rd SE
Marietta, GA 30067-7740

Phone

(770) 514-5055

Fax

(770) 420-2655

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dinah Absi, DMD

Title

Owner

Phone

(770) 514-5055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1356594949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FRANKLIN RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677740",
            "telephone_number": "770-514-5055",
            "fax_number": "770-420-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FRANKLIN RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677740",
            "telephone_number": "770-514-5055",
            "fax_number": "770-420-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "ABSI",
        "authorized_official_first_name": "DINAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-514-5055",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Marietta, GA
• Providers in Marietta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.