Jennings W Bristol DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JENNINGS W BRISTOL DDS PC

Practice address

573 Concord Rd SE Ste C
Smyrna, GA 30082-2611

Phone

(770) 435-9046

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By 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. Jared Wilson Bristol, DDSNPI 1962917575

Title

Associate

Phone

(770) 435-9046

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jared Wilson Bristol

  • Dentist
  • Smyrna, GA
  • NPI 1962917575
  NPD (past) Authorized official
• Jennings Wilson Bristol, DDS

  • General Practice Dentistry
  • Smyrna, GA
  • NPI 1881770154
  NPD (past)

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1952816373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 CONCORD RD SE STE C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 CONCORD RD SE STE C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822611",
            "telephone_number": "770-435-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS W BRISTOL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "BRISTOL",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "770-435-9046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrett L. Manning, DDS, PC
• Jason a. King, PH.D., LLC
• Hatinawedu Tina Jaya, OTR/L,MPH,CHT
• Brianna Nicole Jefferson
• Shellina R Jenkins, LPC
• Charay Jennings-Dover, M.D., PH.D.
• Courtney D Jennings, PHARMD
• Jenny Van Overbeke Brooks, PH.D., P.C.
• Miguel A Jimenez, M.D.
• Anna Jin, APC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.