Active NPI
Gateway Dental & Implant Center
- General Practice Dentistry
- Bethlehem, GA
National Provider Identifier
1508762006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.