Organization Active NPI

Dunwoody Park Family Dentistry

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1497096150
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN013587 Issued in GA
Legal business name
DUNWOODY PARK FAMILY DENTISTRY
Practice address
3 Dunwoody Park
Suite 119
Atlanta, GA 30338-7405
Phone
(678) 395-5861
Fax
(678) 395-5903
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Sung-Yun Woo, D.D.S.
Title
President
Phone
(678) 395-5861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN013587 GA Primary

Addresses

Primary practice location

3 Dunwoody Park
Suite 119
Atlanta, GA 30338-7405

Mailing address

3 Dunwoody Park
Suite 119
Atlanta, GA 30338-7405
Phone (678) 395-5861

National Provider Directory

National Provider Directory

Locations

3 Dunwoody Park
Ste 119
Atlanta, GA 30338
Phone (678) 395-5861

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1497096150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DUNWOODY PARK",
            "address_2": "SUITE 119",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387405",
            "telephone_number": "678-395-5861",
            "fax_number": "678-395-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DUNWOODY PARK",
            "address_2": "SUITE 119",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387405",
            "telephone_number": "678-395-5861",
            "fax_number": "678-395-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNWOODY PARK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "SUNG-YUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-395-5861",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.