NPIMap

Organization Active NPI

Brookwood Dentistry, LLC

Doing business as Brookwood Dentistry

  • General Practice Dentistry
  • Snellville, GA
National Provider Identifier
1982449914
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BROOKWOOD DENTISTRY, LLC
Doing business as
Brookwood Dentistry
Practice address
1569 Janmar Rd Ste a
Snellville, GA 30078-5780
Phone
(770) 979-7923
Fax
(678) 990-6954
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Jenny Garcia Rocha
Title
Sr Team Lead
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1569 Janmar Rd Ste a
Snellville, GA 30078-5780

Mailing address

1569 Janmar Rd Ste a
Snellville, GA 30078-5780
Phone (770) 979-7923

Other names 1

  • Brookwood Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1569 Janmar Rd
Ste A
Snellville, GA 30078
Phone (770) 979-7923

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1982449914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 JANMAR RD STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785780",
            "telephone_number": "770-979-7923",
            "fax_number": "678-990-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 JANMAR RD STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785780",
            "telephone_number": "770-979-7923",
            "fax_number": "678-990-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookwood Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.