Wendy Medders Macke DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012427 Issued in GA

Legal business name

WENDY MEDDERS MACKE DMD PC

Practice address

76 Norcross St
Roswell, GA 30075-3866

Phone

(770) 993-0265

Fax

(770) 998-7307

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wendy Medders Macke, DMDNPI 1831282193

Title

President

Phone

(678) 908-5866

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy Medders Macke, DMD

  • General Practice Dentistry
  • Roswell, GA
  • NPI 1831282193
  NPD (past) Authorized official

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1821248790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 ANCROFT CIR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922664",
            "telephone_number": "678-908-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NORCROSS ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753866",
            "telephone_number": "770-993-0265",
            "fax_number": "770-998-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY MEDDERS MACKE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "MACKE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "MEDDERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-908-5866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1831282193",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Marie Welsh, D.C.
• Kristen Marie Welsh, D.C.
• Wender & Roberts Assisted Living
• Wender & Roberts, Inc
• Amelie Wendling
• Amanda Weng
• Ellen Weng
• Kaitlyn Marie Werner, PA-C
• James H West, M.D.
• Staisha Renee West, RN

• General Practice Dentistry in Roswell, GA
• Providers in Roswell, 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 Sep 26, 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.