Organization Active NPI

Jones Bridge Dental Care

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1891966826
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011361 Issued in GA
Legal business name
JONES BRIDGE DENTAL CARE
Practice address
11925 Jones Bridge Rd
Suite # 200
Alpharetta, GA 30005-5076
Phone
(770) 772-0606
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dina Yelizarov
Title
Bussiness Manager
Phone
(770) 772-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN011361 GA Primary

Addresses

Primary practice location

11925 Jones Bridge Rd
Suite # 200
Alpharetta, GA 30005-5076

Mailing address

11925 Jones Bridge Rd
Suite # 200
Alpharetta, GA 30005-5076
Phone (770) 772-0606

National Provider Directory

National Provider Directory
Tax ID family
Dr Leonid Yelizarov DMD 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.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1891966826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 JONES BRIDGE RD",
            "address_2": "SUITE # 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055076",
            "telephone_number": "770-772-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 JONES BRIDGE RD",
            "address_2": "SUITE # 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055076",
            "telephone_number": "770-772-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES BRIDGE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "YELIZAROV",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "BUSSINESS MANAGER",
        "authorized_official_telephone_number": "770-772-0606"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.