Jennifer L. McCoy, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013561 Issued in GA

Legal business name

JENNIFER L. MCCOY, DDS, LLC

Doing business as

Jennifer L McCoy DDS Cosmetic and Family Dentistry

Practice address

3930 Charleston Market St Ste B1
Suwanee, GA 30024-8757

Phone

(310) 351-1292

NPI assigned

Apr 15, 2014

Last updated

Jul 21, 2020By 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. Jennifer Lynn McCoy, DDSNPI 1275707200

Title

Managing Member

Phone

(562) 665-1366

Specialties & licenses 1

Addresses

Other names 1

• Jennifer L McCoy DDS Cosmetic and Family Dentistry Doing business as

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.

• Jennifer Lynn McCoy, DDS

  • General Practice Dentistry
  • Lawrenceville, GA
  • NPI 1275707200
  NPD Authorized official
• Katherine Keller Copeland, DMD

  • Dentist
  • Lawrenceville, GA
  • NPI 1326429812
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1972922276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 LITTLE DARBY LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247676",
            "telephone_number": "562-665-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 CHARLESTON MARKET ST STE B1",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248757",
            "telephone_number": "310-351-1292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 W Pike St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464862",
            "country_code": "US",
            "telephone_number": "770-963-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENNIFER L. MCCOY, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "562-665-1366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer L McCoy DDS Cosmetic and Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jeff Weber, Ed.D., P.C.
• Jeffrey E Goldberg, MD, PC (Children's ENT Associates)
• Latisha Jenkins, CPT
• Doyoung Jeong, RBT
• Diana Jin, D.D.S.
• JK Internal Medicine & Geriatrics,PC
• Jloby LLC
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• General Practice Dentistry in Suwanee, GA
• Providers in Suwanee, 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 Jul 21, 2020; 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.