Oakwood Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OAKWOOD FAMILY DENTAL LLC

Practice address

3885 Mundy Mill Rd Ste 116
Oakwood, GA 30566-3432

Phone

(832) 622-6290

NPI assigned

Sep 25, 2019

Organization subpart

No

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

Authorized official

Name

Khushbu ModyNPI 1548678204

Title

Owner

Phone

(832) 622-6290

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Khushbu Mody

  • Dentist
  • Oakwood, GA
  • NPI 1548678204
  NPD Authorized official

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1689225161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE STE 513 #479",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 MUNDY MILL RD STE 116",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305663432",
            "telephone_number": "832-622-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "MODY",
        "authorized_official_first_name": "KHUSHBU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-622-6290"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Michelle Ngo, LMFT
• Isabel Nogues, PA--C
• North Point Lighthouse Counseling, LLC
• Kelly Nicole O'Dell, M.D.
• Oakwood Eye Associates
• Oakwood Medical Clinic
• Oakwood Smiles PC
• Oluwatobiloba Oladejo
• Tolulope Abiodun Olunuga, M.D.
• Prachi Patel, DMD

• Dentist in Oakwood, GA
• Providers in Oakwood, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.