Jocelyn P Pechera Spaulding, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN012428 Issued in GA

Practice address

1201 Clairmont Rd
Suite 200
Decatur, GA 30030-1258

Phone

(404) 634-5738

Fax

(888) 626-8578

NPI assigned

Sep 4, 2006

Last updated

Mar 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jocelyn Pechera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1538261052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MENDELL CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303192326",
            "telephone_number": "404-634-5738",
            "fax_number": "888-626-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CLAIRMONT RD",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301258",
            "telephone_number": "404-634-5738",
            "fax_number": "888-626-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHERA SPAULDING",
        "first_name": "JOCELYN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "PECHERA",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jessica Lynn Pederson
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• Pediatric Dental Specialists of Georgia, PC

• Dentist in Decatur, GA
• Providers in Decatur, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.