Magualie Woollery, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012142 Issued in GA

Practice address

7760 Hampton PL
Building 6
Loganville, GA 30052-6770

Phone

(678) 639-0080

Fax

(678) 639-0088

NPI assigned

Oct 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Magualie J. Woollery, D.M.D., P.C.

  dba Contemporary Dentistry

  • Dental Clinic/Center
  • Loganville, GA
  • NPI 1023135738
  NPD (past) Authorized official

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1649607011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 HAMPTON PL",
            "address_2": "BUILDING 6",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526770",
            "telephone_number": "678-639-0080",
            "fax_number": "678-639-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 HAMPTON PL",
            "address_2": "BUILDING 6",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526770",
            "telephone_number": "678-639-0080",
            "fax_number": "678-639-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLERY",
        "first_name": "MAGUALIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442081793B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth L Wilson
• Thomas Christopher Wilson, PT
• Jeongi Won
• Marlaina Grant Woodward, BSED
• Blaine Woody, PT
• Bayyinah Wright, APRN
• Xala X Yang, APNP
• Aisa Yarns, RN, RRT
• Sarah Yikealo, M.S., CCC-SLP
• Elizabeth A Young, RN

• General Practice Dentistry in Loganville, GA
• Providers in Loganville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.