NPIMap

Organization Active NPI

Newnan Periodontics and Dental Implants LLC

  • Periodontics
  • Newnan, GA
National Provider Identifier
1699480723
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
NEWNAN PERIODONTICS AND DENTAL IMPLANTS LLC
Practice address
1635 Ga-34 Suite a
Newnan, GA 30265
Phone
(770) 252-0029
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Dr. Mindy Gil, DMD, DMSCNPI 1336434786
Title
Dentist
Phone
(617) 819-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1635 Ga-34 Suite a
Newnan, GA 30265

Mailing address

1635 Ga-34 Suite a
Newnan, GA 30265

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1699480723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 GA-34 SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 GA-34 SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-252-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWNAN PERIODONTICS AND DENTAL IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-819-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, DMSC"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.