Westside Dental

Primary specialty

DentistTaxonomy code 122300000X

License

8787 Issued in GA

Legal business name

WESTSIDE DENTAL

Practice address

3515 Dallas Hwy SW Ste B
Marietta, GA 30064-1613

Phone

(770) 499-7005

Fax

(770) 499-7081

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George Neal Goolsby, DMD

Title

Owner

Phone

(770) 499-7005

Specialties & licenses 1

Addresses

Tax ID family

Westside Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Westside Management

  • Dentist
  • Marietta, GA
  • NPI 1770970915
  NPD tax ID

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649486028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 DALLAS HWY SW STE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641613",
            "telephone_number": "770-499-7005",
            "fax_number": "770-499-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 DALLAS HWY SW STE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641613",
            "telephone_number": "770-499-7005",
            "fax_number": "770-499-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOOLSBY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-499-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "8787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Westercamp, PA-C
• Brenda Westerman, M.ED., LPC
• Zada Yvette Weston-Hill, M.D
• Courtney Roberta Weston, MPT
• Nicholas Weston
• Westside Management
• Ellen Given Wetherill
• Lori D. Wetherington
• Mark L Wetherly, MD
• Jordan M Wetstone, MD

• Dentist in Marietta, GA
• Providers in Marietta, GA by specialty
• 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.