Foundation Dental Partners Georgia, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FOUNDATION DENTAL PARTNERS GEORGIA, P.C.

Practice address

1816 Eagle Dr Ste 200-a
Woodstock, GA 30189-8274

Phone

(770) 238-1437

NPI assigned

Dec 2, 2019

Last updated

May 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ben Cutler

Title

VP of Integrations

Phone

(607) 743-9474

Specialties & licenses 5

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mira Diora, D.D.S

  • Dentist
  • Atlanta, GA
  • NPI 1184986036
  NPD (past)
• David Gary Hochberg, D.D.S.

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1083880611
  NPD (past)
• James Park, D.M.D

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1245689728
  NPD (past)

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1780221457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 S MAIN ST STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091973"
        },
        {
            "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": "770-238-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION DENTAL PARTNERS GEORGIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "VP OF INTEGRATIONS",
        "authorized_official_telephone_number": "607-743-9474"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John H Foote, MD
• Whitney Lauren Fose, MD
• Heather Catherine Fowler, LDO, ABOC, NCLEC
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• Joel E. Fox, DC
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• General Practice Dentistry in Woodstock, GA
• Providers in Woodstock, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.