Donald Douglas Depew, DMD MS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10671 Issued in GA

Practice address

2748 Watts Dr NW
Kennesaw, GA 30144-2721

Phone

(770) 422-3939

Fax

(770) 422-5513

NPI assigned

Oct 27, 2010

Last updated

Oct 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Depew and Young Orthodontics, LLC

  dba Depew Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Acworth, GA
  • NPI 1649080037
  NPD Authorized official

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1548560303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 WATTS DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442721",
            "telephone_number": "770-422-3939",
            "fax_number": "770-422-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 WATTS DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442721",
            "telephone_number": "770-422-3939",
            "fax_number": "770-422-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPEW",
        "first_name": "DONALD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DMD MS PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "10671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyacinth Dennis-Crooks, NP
• Dental Excellence of Kennesaw
• Dental One Associates (Kennesaw) LLC
• Dentfirst PC
• Dentistry at Kennesaw Point
• Deriche Agency Inc
• Annie Derthick, PHD
• Shyamal Desai, PHARMD.
• Destination Trans LLC Dba Anywhere You Need to Go (Syncere Transportation)
• Douglas Jay Deuchar, D.M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.