Depew and Young Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DEPEW AND YOUNG ORTHODONTICS, LLC

Doing business as

Depew Orthodontics

Practice address

2161 Cedarcrest Rd
Acworth, GA 30101-6404

Phone

(770) 974-8255

NPI assigned

Jan 8, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Donald Douglas Depew, DMD, MSNPI 1548560303

Title

Organizer

Phone

(770) 422-3939

Specialties & licenses 1

Addresses

Other names 1

• Depew Orthodontics Doing business as

Locations

Practitioners 1

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

• Donald Douglas Depew, DMD MS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kennesaw, GA
  • NPI 1548560303
  NPD Authorized official

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1649080037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 CEDARCREST RD",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016404",
            "telephone_number": "770-974-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 CEDARCREST RD",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016404",
            "telephone_number": "770-974-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2748 Watts Dr NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301442721",
            "country_code": "US",
            "telephone_number": "770-422-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "644 Cherokee St NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300608910",
            "country_code": "US",
            "telephone_number": "770-422-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEPEW AND YOUNG ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "DEPEW",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "770-422-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Depew Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myrlynn Delille, M.D.
• Gavin Keith Dennis, DPT
• Taylor Morgan Dennis, ME.D- CF SLP
• Joshua Denson
• Dental Nation PC
• David T Derrer, M.D.
• Snehal Desai
• Justin Desandre
• James Michael Desorbo, RPH
• Nia Iman Devaughn

• Orthodontics and Dentofacial Orthopedics Dentistry in Acworth, GA
• Providers in Acworth, 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 Jan 8, 2025; 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.