Organization Active NPI

Gwinnett Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lilburn, GA
National Provider Identifier
1356975098
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GWINNETT ORTHODONTICS
Practice address
956 Killian Hill Rd SW Ste D
Lilburn, GA 30047-8977
Phone
(770) 921-2233
Fax
(770) 921-6090
NPI assigned
Mar 2, 2020
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Janice J Wilmot, DMD, MSNPI 1275582546
Title
Owner/Orthodontist
Phone
(770) 921-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

956 Killian Hill Rd SW Ste D
Lilburn, GA 30047-8977

Mailing address

956 Killian Hill Rd SW Ste D
Lilburn, GA 30047-8977
Phone (770) 921-2233

Other names 1

  • Janice J. Wilmot, DMD, MS, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

956 Killian Hill Rd SW
Ste D
Lilburn, GA 30047
Phone (770) 921-2233

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1356975098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 KILLIAN HILL RD SW STE D",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300478977",
            "telephone_number": "770-921-2233",
            "fax_number": "770-921-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 KILLIAN HILL RD SW STE D",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300478977",
            "telephone_number": "770-921-2233",
            "fax_number": "770-921-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "WILMOT",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "770-921-2233",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janice J. Wilmot, DMD, MS, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.