NPIMap

Organization Active NPI

Ga Dentistry, LLC

  • Dentist
  • Atlanta, GA
National Provider Identifier
1780720169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN009491 Issued in GA
Legal business name
GA DENTISTRY, LLC
Practice address
2460 Cumberland Pkwy SE
210
Atlanta, GA 30339-4519
Phone
(770) 433-2414
NPI assigned
Jan 30, 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
Eugene Witkin, DDS
Title
Owner
Phone
(770) 433-2414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN009491 GA Primary

Addresses

Primary practice location

2460 Cumberland Pkwy SE
210
Atlanta, GA 30339-4519

Mailing address

2460 Cumberland Pkwy SE
210
Atlanta, GA 30339-4519
Phone (770) 433-2414

Other names 1

  • Ga Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780720169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 CUMBERLAND PKWY SE",
            "address_2": "210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394519",
            "telephone_number": "770-433-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CUMBERLAND PKWY SE",
            "address_2": "210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394519",
            "telephone_number": "770-433-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITKIN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-433-2414",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN009491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ga Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, 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.