Active NPI
William F. Morang, D.M.D.
- General Practice Dentistry
- Bogart, GA
National Provider Identifier
1659620193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN014466
- Practice address
- 1520-A Jennings Mill Rd.
Bogart, GA 30622-2543 - Phone
- (706) 353-1958
- Fax
- (706) 353-3939
- NPI assigned
- Aug 30, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Dentist
- Bogart, GA
- NPI 1457793895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014466 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Dental Assoc of NE Ga LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN014466 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1520-A Jennings Mill Rd.
Bogart, GA 30622-2543
Mailing address
1520-A Jennings Mill Rd.
Bogart, GA 30622-2543
Phone (706) 353-1958
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN014466 | Other | GA | DENTAL LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2012.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1659620193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520-A JENNINGS MILL RD.",
"city": "BOGART",
"state": "GA",
"postal_code": "306222543",
"telephone_number": "706-353-1958",
"fax_number": "706-353-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520-A JENNINGS MILL RD.",
"city": "BOGART",
"state": "GA",
"postal_code": "306222543",
"telephone_number": "706-353-1958",
"fax_number": "706-353-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORANG",
"first_name": "WILLIAM",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "DN014466",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bogart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.