Family Orthodontics of Aell, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

FAMILY ORTHODONTICS OF AELL, LLC

Practice address

1678 Mulkey Rd
Austell, GA 30106-1147

Phone

(678) 445-9191

Fax

(678) 445-9173

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Jeannine Bartch

Title

Manager

Phone

(678) 445-9191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1750682365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301880195",
            "telephone_number": "678-445-9191",
            "fax_number": "678-445-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061147",
            "telephone_number": "678-445-9191",
            "fax_number": "678-445-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORTHODONTICS OF AELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "BARTCH",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-445-9191"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.