Bartow Dental Associates,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10433 Issued in GA

Legal business name

BARTOW DENTAL ASSOCIATES,PC

Practice address

310 N Tennessee St
Suite E
Cartersville, GA 30120-3270

Phone

(770) 386-5851

Fax

(770) 386-5851

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Lee Williams, DMDNPI 1962516195

Title

President

Phone

(770) 386-5851

Specialties & licenses 1

Addresses

Locations

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.

• Jerry Lee Williams, DMD

  • Dentist
  • Cartersville, GA
  • NPI 1962516195
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457570111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N TENNESSEE ST",
            "address_2": "SUITE E",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203270",
            "telephone_number": "770-386-5851",
            "fax_number": "770-386-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N TENNESSEE ST",
            "address_2": "SUITE E",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203270",
            "telephone_number": "770-386-5851",
            "fax_number": "770-386-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTOW DENTAL ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-386-5851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartow County Board of Education
• Bartow County Board of Health
• Bartow County Health Care Center, Inc (Maple Ridge Health Care Center)
• Bartow County School System
• Bartow County Treasurer (Bartow County EMS)
• Bartow Health Access
• Bartow Health Access, Inc.
• Lee H Battle III, MD
• Gail Bauer, L.M.T.
• Diana M Baughman, FNP-C

• General Practice Dentistry in Cartersville, GA
• Providers in Cartersville, 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 Aug 22, 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.