Organization Active NPI

Jennifer Won DDS, LLC

  • Dentist
  • Winder, GA
National Provider Identifier
1801581897
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JENNIFER WON DDS, LLC
Practice address
444 Atlanta Hwy NW Ste 500
Winder, GA 30680-7894
Phone
(470) 394-2020
NPI assigned
Apr 6, 2023
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Jennifer Won, DDSNPI 1548501851
Title
Owner
Phone
(734) 358-9958

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

444 Atlanta Hwy NW Ste 500
Winder, GA 30680-7894

Mailing address

2538 Gadsen Walk
Duluth, GA 30097-4349
Phone (734) 358-9958

National Provider Directory

National Provider Directory

Locations

444 Atlanta Hwy NW
Ste 500
Winder, GA 30680
Phone (470) 394-2020

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1801581897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 GADSEN WALK",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974349",
            "telephone_number": "734-358-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ATLANTA HWY NW STE 500",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306807894",
            "telephone_number": "470-394-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER WON DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-358-9958",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.