West Cobb Dentist Office, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WEST COBB DENTIST OFFICE, PC

Practice address

3805 Dallas Hwy SW
Suite 804
Marietta, GA 30064

Phone

(678) 203-3464

Fax

(678) 436-8119

NPI assigned

Apr 14, 2017

Organization subpart

No

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

Authorized official

Name

Katie McCann, DDS

Title

Owner

Phone

(678) 203-3464

Specialties & licenses 1

Addresses

Other names 1

• West Cobb Dentist Office Doing business as

Tax ID family

West Cobb Dentist Office2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West Cobb Dentist Office, PC

  • Dentist
  • Irvine, CA
  • NPI 1144761727
  NPD tax ID

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1700310893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 DALLAS HWY SW",
            "address_2": "SUITE 804",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30064",
            "telephone_number": "678-203-3464",
            "fax_number": "678-436-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COBB DENTIST OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-203-3464",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Cobb Dentist Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin E Wentz, PT
• Faresa Z Weragoda, MD
• Hayley Kathryn Wernon, DO
• Lana M Wertz, CNM
• West Cobb Dental Group
• West Cobb Health Adn Rehab Center
• West Cobb Marriage & Family Counseling, Inc.
• West Cobb Periodontics and Implant Dentistry LLC
• West Point Optical
• Kirsten West-Loewen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.