Organization Active NPI

CDZ Ortho, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Johns Creek, GA
National Provider Identifier
1982524179
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CDZ ORTHO, LLC
Practice address
3455 Old Alabama Rd
Johns Creek, GA 30022-5526
Phone
(770) 676-2221
NPI assigned
Jul 17, 2026
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Jessica Gilgan
Title
Ceo
Phone
(678) 372-1358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

3455 Old Alabama Rd
Johns Creek, GA 30022-5526

Mailing address

3455 Old Alabama Rd
Johns Creek, GA 30022-5526
Phone (770) 676-2221

National Provider Directory

National Provider Directory

Locations

3455 Old Alabama Rd
Johns Creek, GA 30022
Phone (770) 777-1222

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1982524179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 OLD ALABAMA RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300225526",
            "telephone_number": "770-676-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 OLD ALABAMA RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300225526",
            "telephone_number": "770-676-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDZ ORTHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "GILGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-372-1358"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.