NPIMap

Organization Active NPI

Ojibway Dental Group

  • General Practice Dentistry
  • Dunwoody, GA
National Provider Identifier
1922475987
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012988 Issued in GA
Legal business name
OJIBWAY DENTAL GROUP
Practice address
1816 Independence SQ
Suite B
Dunwoody, GA 30338-5137
Phone
(770) 399-9199
Fax
(770) 399-6746
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Jeannine Bartch
Title
Director of Business Development
Phone
(770) 399-9199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN012988 GA Primary

Addresses

Primary practice location

1816 Independence SQ
Suite B
Dunwoody, GA 30338-5137

Mailing address

1816 Independence SQ
Suite B
Dunwoody, GA 30338-5137
Phone (770) 399-9199

Other names 1

  • Dunwoody Family & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1922475987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 INDEPENDENCE SQ",
            "address_2": "SUITE B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385137",
            "telephone_number": "770-399-9199",
            "fax_number": "770-399-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 INDEPENDENCE SQ",
            "address_2": "SUITE B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385137",
            "telephone_number": "770-399-9199",
            "fax_number": "770-399-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OJIBWAY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "BARTCH",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "770-399-9199"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunwoody Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.