Jamestown Condottiere Implant&General Dentistry Ctr. P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNO11947 Issued in GA

Legal business name

JAMESTOWN CONDOTTIERE IMPLANT&GENERAL DENTISTRY CTR. P.C.

Practice address

2457 Riverdale Rd
Atlanta, GA 30337-5003

Phone

(404) 767-9356

Fax

(404) 529-4465

NPI assigned

Apr 7, 2008

Last updated

Apr 7, 2008By 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

Aldous Wilson

Title

Owner

Phone

(404) 767-9356

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jamestown Condottiere Implant General Dentistry Ctr PC2 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.

• Jamestown Condottiere Implant & General Dentistry Ctr. P.C.

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1326211657
  NPD tax ID

Locations

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1801069240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 RIVERDALE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30350",
            "telephone_number": "404-767-9356",
            "fax_number": "404-529-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 RIVERDALE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303375003",
            "telephone_number": "404-767-9356",
            "fax_number": "404-529-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN CONDOTTIERE IMPLANT&GENERAL DENTISTRY CTR. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ALDOUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-767-9356"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO11947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00809025B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Simeon James, M.D.
• Alec Nicholas Jameson, PA-C
• Margaret Winter Jameson, APC, M.S.,NCC
• Sterling Jameson, MSN, APRN, AGACNP-BC
• Jamestown Condottiere Implant & General Dentistry Ctr. P.C.
• Celine Jamieson, DC
• Denise Jamieson, MD
• Eric Coleman Jamison Jr.
• Timothy Jamison, PTA
• Alix Jampol, M.S., OTR/L

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, 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 Apr 7, 2008; 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.