NPIMap

Organization Active NPI

Gentle Touch Dental

  • General Practice Dentistry
  • Conyers, GA
National Provider Identifier
1609994136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012791 Issued in GA
Legal business name
GENTLE TOUCH DENTAL
Practice address
1360 Dogwood Dr SE
Suite 202B
Conyers, GA 30013-5075
Phone
(770) 760-7566
Fax
(770) 760-9238
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jamie S Inniss
Title
Office Manager
Phone
(770) 760-7566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN012791 GA Primary

Addresses

Primary practice location

1360 Dogwood Dr SE
Suite 202B
Conyers, GA 30013-5075

Mailing address

1360 Dogwood Dr SE
Suite 202B
Conyers, GA 30013-5075
Phone (770) 760-7566

National Provider Directory

National Provider Directory

Locations

1360 Dogwood Dr SE
Ste 202B
Conyers, GA 30013
Phone (770) 760-7566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609994136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 DOGWOOD DR SE",
            "address_2": "SUITE 202B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135075",
            "telephone_number": "770-760-7566",
            "fax_number": "770-760-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 DOGWOOD DR SE",
            "address_2": "SUITE 202B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135075",
            "telephone_number": "770-760-7566",
            "fax_number": "770-760-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TOUCH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INNISS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-760-7566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • 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.