Organization Active NPI

Gateway Dental & Implant Center

  • General Practice Dentistry
  • Bethlehem, GA
National Provider Identifier
1508762006
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GATEWAY DENTAL & IMPLANT CENTER
Practice address
118 Gateway Lane
St 300
Bethlehem, GA 30620
Phone
(470) 524-6600
Fax
(470) 524-6601
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Mr. Asif Taufiq, DDS, MBA
Title
Owner
Phone
(770) 962-0515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X

Addresses

Primary practice location

118 Gateway Lane
St 300
Bethlehem, GA 30620

Mailing address

118 Gateway Lane
St 300
Bethlehem, GA 30620
Phone (470) 524-6600

NPI Registry JSON

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1508762006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GATEWAY LANE",
            "address_2": "ST 300",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "30620",
            "telephone_number": "470-524-6600",
            "fax_number": "470-524-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 GATEWAY LANE",
            "address_2": "ST 300",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "30620",
            "telephone_number": "470-524-6600",
            "fax_number": "470-524-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY DENTAL & IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "TAUFIQ",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-962-0515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.