Jennifer McCoy DDS Lawrenceville, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013561 Issued in GA

Legal business name

JENNIFER MCCOY DDS LAWRENCEVILLE, LLC

Practice address

365 W Pike St
Lawrenceville, GA 30046-3205

Phone

(770) 963-2424

NPI assigned

Jun 2, 2014

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 1

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

• Jennifer Lynn McCoy, DDS

  • General Practice Dentistry
  • Lawrenceville, GA
  • NPI 1275707200
  NPD Authorized official

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1982016523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W PIKE ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463205",
            "telephone_number": "770-963-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W PIKE ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463205",
            "telephone_number": "770-963-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MCCOY DDS LAWRENCEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "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": "193400000X SINGLE SPECIALTY  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"
        }
    ]
}

• Emily L Jenkins, DPT
• Gail L Jenkins
• Kailah Jenkins
• Kristle Shanell Jenkins
• Rebecca Ann Jenkins, MS
• Crystal Jennings
• Phillip Jennings III
• Philip Jenny
• Kevin Lee Jensen, M.D.
• Elly Yooil Jeong, LCSW

• General Practice Dentistry in Lawrenceville, GA
• Providers in Lawrenceville, 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.