Active NPI
Robert Gittelman DDS PC
- Dentist
- Marietta, GA
National Provider Identifier
1649349853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ROBERT GITTELMAN DDS PC
- Practice address
- 365 Villa Rica Way
Marietta, GA 30064 - Phone
- (770) 428-1999
- Fax
- (770) 428-5504
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Charles Gittelman, DDS
- Title
- President
- Phone
- (770) 428-1999
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
365 Villa Rica Way
Marietta, GA 30064
Mailing address
365 Villa Rica Way
Marietta, GA 30064
Phone (770) 428-1999
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Marietta, GA
- NPI 1033294061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649349853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 VILLA RICA WAY",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30064",
"telephone_number": "770-428-1999",
"fax_number": "770-428-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 VILLA RICA WAY",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30064",
"telephone_number": "770-428-1999",
"fax_number": "770-428-5504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT GITTELMAN DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GITTELMAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-428-1999",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, 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.