Active NPI
Jasmine Denee' Marks, DDS
- Dentist
- Fayetteville, GA
National Provider Identifier
1932947843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123514
- Practice address
- 117 Pavilion Pkwy Ste 15C
Fayetteville, GA 30214-7732 - Phone
- (770) 953-6975
- NPI assigned
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN123514 | GA | Primary |
Addresses
Primary practice location
117 Pavilion Pkwy Ste 15C
Fayetteville, GA 30214-7732
Mailing address
7000 Renaissance Pkwy Apt 3304
Fairburn, GA 30213-6584
Phone (918) 639-4809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123514 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1932947843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 RENAISSANCE PKWY APT 3304",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136584",
"telephone_number": "918-639-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 PAVILION PKWY STE 15C",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147732",
"telephone_number": "770-953-6975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "JASMINE",
"middle_name": "DENEE'",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
- Marceca Chiropractic Center PC
- Michael A Marceca, DC
- Michelle Marie Marchese-Deutscher, OT
- Mark Lynn OD & Associates PC (Visionworks)
- David Wayne Markham, MD, MSC
- Morgan Marshall, SLP
- Zwade J Marshall, M.D.
- Martha a Schuh, MD (Peachtree Immediate Care and Occupational Medicine)
- Ashley Martin, LPC,BCBA,LBA, CMAC,
- Carol D Martin, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.