North Oconee Family Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTH OCONEE FAMILY DENTISTRY PC

Practice address

1040 Garland Dr Ste 200
Bogart, GA 30622-3201

Phone

(678) 661-0709

NPI assigned

Nov 7, 2018

Last updated

Nov 7, 2018By 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

Dr. Bum Mo Chung

Title

Owner

Phone

(678) 661-0709

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Mike W Jin, DMD

  • Public Health Dentistry
  • Newnan, GA
  • NPI 1801468665
  NPD (past)
• Ji Yoon Ko

  • Dentist
  • Bogart, GA
  • NPI 1982396180
  NPD (past)

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1861960932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GARLAND DR STE 200",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306223201",
            "telephone_number": "678-661-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GARLAND DR STE 200",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306223201",
            "telephone_number": "678-661-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OCONEE FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "BUM",
        "authorized_official_middle_name": "MO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-661-0709",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Physician Services, LLC
• William F. Morang, D.M.D.
• New Image Dental Group
• New Reflections Counseling LLC
• Ingrid Ruth Newman, MD
• Oconee Family Practice, PC
• Kimberly Ann Ohlsson, M.ED., C.C.C., S.L.P
• Kevin A Oneal, MD
• Optical Shop at Athens Eye Associates, Inc.
• Orthodontic Care of Georgia

• Dental Clinic/Center in Bogart, GA
• Providers in Bogart, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.