Jerome B Duncan DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7301 Issued in GA

Legal business name

JEROME B DUNCAN DDS PC

Practice address

9740 Main Street
Suite 140
Woodstock, GA 30188-3942

Phone

(770) 926-6197

Fax

(770) 926-6193

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jerome B Duncan, DDSNPI 1336307552

Title

President

Phone

(770) 926-6197

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jerome B Duncan, DDS

  • General Practice Dentistry
  • Woodstock, GA
  • NPI 1336307552
  NPD (past) Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1962660183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 MAIN STREET",
            "address_2": "SUITE 140",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883942",
            "telephone_number": "770-926-6197",
            "fax_number": "770-926-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 MAIN STREET",
            "address_2": "SUITE 140",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883942",
            "telephone_number": "770-926-6197",
            "fax_number": "770-926-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME B DUNCAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-926-6197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy M Jarrett, NP
• Hannah Jenkins
• Morris Latrell Jenkins
• Jensen and Burgess LLC
• Caleb William Jensen, DMD
• John K. Dooley, D.D.S., P.C.
• Allyssa Johnson
• Anita Johnson, M.D.
• Erin Reese Johnson, LPC
• Gina B. Johnson, DMD

• General Practice Dentistry in Woodstock, GA
• Providers in Woodstock, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.