Sandra Oh, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN013379 Issued in GA

Practice address

3650 Baxley Ridge Dr
Suwanee, GA 30024-4501

Phone

(770) 630-9141

NPI assigned

Nov 13, 2006

Last updated

Aug 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1912078478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 BAXLEY RIDGE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244501",
            "telephone_number": "678-373-3225",
            "fax_number": "678-373-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 BAXLEY RIDGE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244501",
            "telephone_number": "770-630-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013379",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "672066157B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Nutt
• Jordan Edward Nutt, NP-C
• Nneka J Nwaobi, RPH
• Shawn Thomas O'Connor, ATC
• Oculofacial Plastic Surgeons of Georgia, LLC
• Amauwia Okivie, NP
• Matthew A Olearczyk, MD
• Olive Grove ABA
• Emily Anne Oliverius, M.S.CCC-SLP
• Om Primary Care LLC (Om Primary Care)

• Pediatric Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.