Peter John Pomazon, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9519 Issued in GA

Practice address

440 Ernest W Barrett Pkwy NW
Suite 29
Kennesaw, GA 30144-4918

Phone

(770) 427-6000

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508986126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 KNIGHT RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664423",
            "telephone_number": "770-427-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ERNEST W BARRETT PKWY NW",
            "address_2": "SUITE 29",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444918",
            "telephone_number": "770-427-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMAZON",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Heather Plumb
• Ryan Pluta
• Poinciana Recovery Institute
• Robert Earl Poindexter Jr., DMD
• Lisa Vivienne Poling, NP
• Kathleen Poore
• Emily Danielle Pope, BCBA
• Karen Porter, RD, LD
• Tyrone Portis
• Positive Approaches, LLC

• General Practice Dentistry in Kennesaw, GA
• Providers in Kennesaw, 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 Jul 8, 2007; 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.