Dasog LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014121 Issued in GA

Legal business name

DASOG LLC

Doing business as

Whitlock Avenue Dental

Practice address

1075 Whitlock Ave SW
Suite C
Marietta, GA 30064-1941

Phone

(770) 422-5614

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maheshvar Patel, DDS

Title

Owner

Phone

(770) 422-5614

Specialties & licenses 1

Addresses

Other names 1

• Whitlock Avenue Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Anne Nadler, DMD

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1003018037
  NPD (past)

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1528500485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 WHITLOCK AVE SW",
            "address_2": "SUITE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641941",
            "telephone_number": "770-422-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 WHITLOCK AVE SW",
            "address_2": "SUITE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641941",
            "telephone_number": "770-422-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASOG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHESHVAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-422-5614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitlock Avenue Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ashlie Darr, M.D.
• Jasmine Dannyka Darrington, NURSE
• Caroline Darsey
• Mary Morgan Dasher, M.S., CCC-SLP
• Kathleen T Daskal, CNP
• Jaydip Datta, MD
• Ajay Davalur, DMD
• Ahmad Davari, DC
• Chirag Niranjan Dave, M.D.
• Pooja Niranjan Dave, PH.D.

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, 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 9, 2016; 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.