NPIMap

Organization Active NPI

David L Goettee D.D.S., P.C.

Doing business as West Cobb Dentistry LLC

  • General Practice Dentistry
  • Kennesaw, GA
National Provider Identifier
1932802824
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID L GOETTEE D.D.S., P.C.
Doing business as
West Cobb Dentistry LLC
Practice address
5255 Stilesboro Rd NW Ste 150
Kennesaw, GA 30152-7738
Phone
(770) 794-3332
Fax
(770) 794-2304
NPI assigned
Mar 22, 2023
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID L GOETTEE, D.D.S., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Kellie Guffin
Title
Cfo
Phone
(770) 794-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

5255 Stilesboro Rd NW Ste 150
Kennesaw, GA 30152-7738

Mailing address

5255 Stilesboro Rd NW Ste 150
Kennesaw, GA 30152-7738
Phone (770) 794-3332

Other names 1

  • West Cobb Dentistry LLC Doing business as

National Provider Directory

National Provider Directory
Part of
David L Goettee DDS PC

Locations

5255 Stilesboro Rd NW
Ste 150
Kennesaw, GA 30152
Phone (770) 505-0929

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1932802824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 STILESBORO RD NW STE 150",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527738",
            "telephone_number": "770-794-3332",
            "fax_number": "770-794-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 STILESBORO RD NW STE 150",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527738",
            "telephone_number": "770-794-3332",
            "fax_number": "770-794-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L GOETTEE D.D.S., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID L GOETTEE, D.D.S., P.C.",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "GUFFIN",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-794-3332"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Cobb Dentistry LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Cobb Dentistry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.