Family Dentistry of Blairsville, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FAMILY DENTISTRY OF BLAIRSVILLE, LLC

Doing business as

Family Dentistry of Blairsville

Practice address

100 Wesley Mountain Dr
Blairsville, GA 30512-8338

Phone

(706) 745-7100

NPI assigned

Mar 19, 2024

Last updated

Mar 29, 2024By 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. Jordana C Freitas, DMDNPI 1508436999

Title

Owner/ Dentist

Phone

(678) 665-0178

Specialties & licenses 2

Addresses

Other names 1

• Family Dentistry of Blairsville Doing business as

Locations

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.

• Jordana Freitas, DMD

  • Dentist
  • Blairsville, GA
  • NPI 1508436999
  NPD Authorized official

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1912767039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESLEY MOUNTAIN DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128338",
            "telephone_number": "706-745-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESLEY MOUNTAIN DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128338",
            "telephone_number": "706-745-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF BLAIRSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "FREITAS",
        "authorized_official_first_name": "JORDANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "678-665-0178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Blairsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.