Active NPI
William Bruce Fink, DDS
- Dentist
- Woodstock, GA
National Provider Identifier
1700077922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN011355
- Practice address
- 1816 Eagle Dr Ste 200-a
Woodstock, GA 30189-8274 - Phone
- (770) 926-0000
- Fax
- (770) 818-5850
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DNO11355 | GA | |
| Dentist | 122300000X | DN011355 | GA | Primary |
| Public Health Dentistry | 1223D0001X | DNO11355 | GA |
Addresses
Primary practice location
1816 Eagle Dr Ste 200-a
Woodstock, GA 30189-8274
Mailing address
106 Gold Leaf CT
Canton, GA 30114-9719
Phone (770) 331-1092
Other practice location 1
2300 Windy Ridge Pkwy SE Unit 220
Atlanta, GA 30339-5665
Phone (770) 214-4252
Other practice location 2
1918 Highway 74 N
Tyrone, GA 30290-1604
Phone (770) 859-9577
Other practice location 3
6001 Professional Pkwy Ste 1030
Douglasville, GA 30134-5634
Phone (404) 274-7335
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255281721 | Other | GA | NPI |
| 1700077922 | Other | GA | COMMERCIAL PAYERS |
| 1144589326 | Other | GA | NPI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN011355 | GA | MD | Dentist |
| DNO11355 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1700077922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 GOLD LEAF CT",
"city": "CANTON",
"state": "GA",
"postal_code": "301149719",
"telephone_number": "770-331-1092",
"fax_number": "770-818-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 EAGLE DR STE 200-A",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301898274",
"telephone_number": "770-926-0000",
"fax_number": "770-818-5850"
}
],
"practiceLocations": [
{
"address_1": "2300 Windy Ridge Pkwy SE Unit 220",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303395665",
"country_code": "US",
"telephone_number": "770-214-4252",
"fax_number": "770-818-5723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1918 Highway 74 N",
"address_purpose": "LOCATION",
"city": "Tyrone",
"state": "GA",
"postal_code": "302901604",
"country_code": "US",
"telephone_number": "770-859-9577",
"fax_number": "770-818-5850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6001 Professional Pkwy Ste 1030",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "301345634",
"country_code": "US",
"telephone_number": "404-274-7335",
"fax_number": "770-818-5723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FINK",
"first_name": "WILLIAM",
"middle_name": "BRUCE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DNO11355",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "GA",
"license": "DN011355",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "GA",
"license": "DNO11355",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255281721",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL PAYERS",
"identifier": "1700077922",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1144589326",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.