NPIMap

Organization Active NPI

JPC Dental Group

Doing business as Milton Dental Specialists

  • Dentist
  • Milton, GA
National Provider Identifier
1578940904
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JPC DENTAL GROUP
Doing business as
Milton Dental Specialists
Practice address
13075 Highway 9 N
Ste 110
Milton, GA 30004-5145
Phone
(404) 512-9355
NPI assigned
May 6, 2015
Last updated
May 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Justin Chong, D.M.D.NPI 1023337094
Title
Owner
Phone
(404) 512-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary
Pediatric Dentistry 1223P0221X DN014085 GA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN013923 GA

Addresses

Primary practice location

13075 Highway 9 N
Ste 110
Milton, GA 30004-5145

Mailing address

13075 Highway 9 N
Ste 110
Milton, GA 30004-5145
Phone (404) 512-9355

Other names 1

  • Milton Dental Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1578940904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13075 HIGHWAY 9 N",
            "address_2": "STE 110",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300045145",
            "telephone_number": "404-512-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 HIGHWAY 9 N",
            "address_2": "STE 110",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300045145",
            "telephone_number": "404-512-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-512-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN014085",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN013923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milton Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.