Windermere Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN013818 Issued in GA

Legal business name

WINDERMERE ORTHODONTICS LLC

Practice address

3120 Mathis Airport Pkwy
Suite 106
Suwanee, GA 30024-9128

Phone

(770) 888-1929

Fax

(770) 888-1859

NPI assigned

Jan 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael L Gorlovsky, DMD, MSNPI 1780887992

Title

Owner

Phone

(770) 888-1929

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael L Gorlovsky, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Suwanee, GA
  • NPI 1780887992
  NPD (past) Authorized official
• Svetlana Lekht, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Suwanee, GA
  • NPI 1992041313
  NPD (past)

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263600000000",
    "number": "1497086367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 MATHIS AIRPORT PKWY",
            "address_2": "SUITE 106",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249128",
            "telephone_number": "770-888-1929",
            "fax_number": "770-888-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 MATHIS AIRPORT PKWY",
            "address_2": "SUITE 106",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249128",
            "telephone_number": "770-888-1929",
            "fax_number": "770-888-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDERMERE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-16",
        "last_updated": "2010-01-16",
        "status": "A",
        "authorized_official_last_name": "GORLOVSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-888-1929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN013818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Blount Willimas, DMD
• Bryant D Wilson, RBT
• Charlene Wilson, RDN, LD
• Courtney Ann Wilson, PA
• Windermere Optique LLC
• Kimberly Ann Winn, ATC
• Amira Winston, RBT
• Laura Winters, SLP-CCC
• Dana Wohlhart
• Eden Zerai Woldai

• Orthodontics and Dentofacial Orthopedics Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; 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.