Jeffrey T Fester, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10586 Issued in GA

Practice address

1455 Old Alabama Rd
Suite 120
Roswell, GA 30076-2129

Phone

(770) 587-4202

Fax

(770) 587-2412

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• V Smile LLC

  • Dental Clinic/Center
  • Roswell, GA
  • NPI 1598473266
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487741401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 OLD ALABAMA RD",
            "address_2": "SUITE 120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762129",
            "telephone_number": "770-587-4202",
            "fax_number": "770-587-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 OLD ALABAMA RD",
            "address_2": "SUITE 120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762129",
            "telephone_number": "770-587-4202",
            "fax_number": "770-587-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESTER",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "546011",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa Maryanne Fernandes
• Chloe Standridge Fernandez, DO
• Suzanne Jeannette Ferree, MD
• Noel Gusman Ferrer, PA-C
• Robert Stuart Ferrill Jr., DDS
• Brooks William Ficke, M.D.
• Kathryn B Fidati, PT, LMT
• Daryl Lee Figa, MD
• William E. Fike, M.D.
• Jessica Grace Filosi, MS OTR/L

• General Practice Dentistry in Roswell, GA
• Providers in Roswell, 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 Jul 8, 2007; 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.