Active NPI
JBM-Dent, Inc.
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1699035345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9493
- Legal business name
- JBM-DENT, INC.
- Practice address
- 1336 Glenwood Ave SE
Atlanta, GA 30316-2048 - Phone
- (404) 688-0013
- NPI assigned
- May 29, 2012
- Last updated
- May 29, 2012
- 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
- Ms. Barbara Elizabeth Allen
- Title
- Office Manager / Ins. Specialist
- Phone
- (770) 319-7755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9493 | GA | Primary |
Addresses
Primary practice location
1336 Glenwood Ave SE
Atlanta, GA 30316-2048
Mailing address
1336 Glenwood Avenue SE
Atlanta, GA 30316
Phone (404) 688-0013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164596698 | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1336 Glenwood Ave SE
Atlanta, GA 30316
Phone (404) 688-0013
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Atlanta, GA
- NPI 1164596698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338249600000",
"number": "1699035345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 GLENWOOD AVENUE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30316",
"telephone_number": "404-688-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1336 GLENWOOD AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162048",
"telephone_number": "404-688-0013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JBM-DENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-29",
"last_updated": "2012-05-29",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OFFICE MANAGER / INS. SPECIALIST",
"authorized_official_telephone_number": "770-319-7755",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "9493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164596698",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Jaytyn LLC
- JBC Enteprise, LLC (Bee Kept Healthcare)
- JBD Counseling Service LLC
- JBLB Holdings, LLC (ProMedCare)
- JBM Advising LLC (Journeying Beyond Measure)
- Jbordleon & Associates, LLC
- JC Caring Services LLC
- JC Plastic Surgery of Atlanta, LLC
- Jdonohue Enterprises, Inc. (BodyLogicMD or Atlanta/ Buckhead)
- Goun Je, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.