Gina Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011336 Issued in GA

Legal business name

GINA DENTAL LLC

Practice address

1000 Johnson Ferry Rd Ste E125
Marietta, GA 30068-2100

Phone

(770) 579-0802

Fax

(770) 579-0340

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

Gina H Hodgson, DMD

Title

Owner

Phone

(678) 579-0802

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.

• Gina Lanelle Hurt, D.M.D

  • Dentist
  • Marrieta, GA
  • NPI 1144395765
  NPD (past)

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1477068823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD STE E125",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682100",
            "telephone_number": "770-579-0802",
            "fax_number": "770-579-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD STE E125",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682100",
            "telephone_number": "770-579-0802",
            "fax_number": "770-579-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-579-0802",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel V Gilmore, SA
• Gilreath Family and Cosmetic Dentistry LLC
• Paul Gilreath IV, D.M.D.
• Paul Gilreath III, DDS
• Nancy Marie Gimbel, PHD
• John Phillip Gingrey, M.D.
• Jennie Allen Ginn, AU.D
• John P Gira, MD
• Chrag Girish
• Lidia Girma, PHARMD

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, 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 Dec 7, 2017; 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.