Organization Active NPI

Bruce a. Hester, D.M.D., P.C.

  • General Practice Dentistry
  • Kennesaw, GA
National Provider Identifier
1710003488
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11090 Issued in GA
Legal business name
BRUCE A. HESTER, D.M.D., P.C.
Practice address
2980 Lewis St NW
Kennesaw, GA 30144-5635
Phone
(770) 422-1554
Fax
(770) 422-2893
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce Alan HesterNPI 1043337561
Title
President
Phone
(770) 422-1554

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11090 GA Primary

Addresses

Primary practice location

2980 Lewis St NW
Kennesaw, GA 30144-5635

Mailing address

2980 Lewis St NW
Kennesaw, GA 30144-5635
Phone (770) 422-1554

National Provider Directory

National Provider Directory

Locations

2980 Lewis St NW
Kennesaw, GA 30144
Phone (770) 422-1554

Practitioners & affiliated clinicians

Practitioners 2

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710003488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 LEWIS ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445635",
            "telephone_number": "770-422-1554",
            "fax_number": "770-422-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 LEWIS ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445635",
            "telephone_number": "770-422-1554",
            "fax_number": "770-422-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. HESTER, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-422-1554",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.