Gordon T. Austin, D.M.D., P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8598 Issued in GA

Legal business name

GORDON T. AUSTIN, D.M.D., P.C.

Practice address

819 Dixie St
Carrollton, GA 30117-4415

Phone

(770) 832-7374

Fax

(770) 832-7260

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gordon T. Austin, DMD

Title

President

Phone

(770) 832-7374

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609096106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174415",
            "telephone_number": "770-832-7374",
            "fax_number": "770-832-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174415",
            "telephone_number": "770-832-7374",
            "fax_number": "770-832-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON T. AUSTIN, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-832-7374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "8598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary L Godard
• Sheena Rene Gonzalez, CPNP-PC
• Goodbodys Minor Med Express Care
• Jonathan M Goodin, MD
• Gwyndolyn B. Goodwin, D.C.
• Jefferson Taylor Gordon, M.D.
• Jenny Lyle Gordon
• Olivia Katelyn Gordon, MS, RD, LD
• Pam J Gordon, BS
• Robin Wilson Gordon, LPC

• Oral and Maxillofacial Surgery (Dentist) in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.