Gustave Joseph Peluso III, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011882 Issued in GA

Practice address

980 Sanders Rd Ste 200
Cumming, GA 30041-5977

Phone

(770) 205-3111

Fax

(770) 205-3311

NPI assigned

Jan 29, 2007

Last updated

Nov 22, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Spotlight Dental Alpharetta

  • Dental Clinic/Center
  • Alpharetta, GA
  • NPI 1114405511
  Authorized official Same address or phone
• Spotlight Family Dental LLC

  dba Spotlight Dental

  • General Practice Dentistry
  • Cumming, GA
  • NPI 1952609869
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1497891618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 MANOR BRIDGE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042836",
            "telephone_number": "404-405-7756",
            "fax_number": "404-795-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 SANDERS RD STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415977",
            "telephone_number": "770-205-3111",
            "fax_number": "770-205-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELUSO",
        "first_name": "GUSTAVE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Orthopaedic Surgery Center-North, LLC
• Callie Michelle Peck, NP
• Pediatric Health Care of North Georgia, PC
• Pediatric Vision Development Center of Forsyth
• Rochelle Peet, LPC
• Louisa Peluso, LCSW
• Pendley Business Ventures, Inc. (LEAP Pediatric Therapy Services)
• Julia Nicole Pendley, DPT
• Sara Penna, PHARMD
• Keith Bradley Pennycook, DO

• General Practice Dentistry in Cumming, GA
• Providers in Cumming, 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 Nov 22, 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.