PEDIATRIC DENTISTRY OF FORSYTH
NPI 1356580633
Dentist - Pediatric Dentistry in Cumming, GA

Q: What is R Jason Neil Bongiovi Dmd PC's NPI number?

The NPI number for R Jason Neil Bongiovi Dmd PC is 1356580633. It was assigned to this organization in the NPPES registry on February 11, 2009. The provider is doing business as Pediatric Dentistry Of Forsyth.

Q: What is R Jason Neil Bongiovi Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since February 11, 2009

3810 WINDEMERE PARKWAY, STE 502, CUMMING, GA 30041(404) 316-0588 Get Directions Write a Review

NPPES record last updated: February 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric Dentistry Of Forsyth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTISTRY OF FORSYTH (NPI 1356580633) is a healthcare organization registered as a pediatric dentistry in Cumming, Georgia and active in the NPI registry since February 2009. The organization lists Jason Neil Bongiovi, President, as its authorized official.

NPPES Registry Identity

NPI1356580633

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameR JASON NEIL BONGIOVI DMD PC

Location Address3810 WINDEMERE PARKWAY, STE 502Cumming, GA 30041

Mailing Address18 Vernon Glen CtAtlanta, GA 30338-5420 · (404) 316-0588

Phone(404) 316-0588

Organization SubpartNo

Authorized OfficialJason Neil BongioviPresident · (404) 316-0588

Enumeration DateFebruary 11, 2009

✔ NPI 1356580633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in GA · DN013085

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3810 WINDEMERE PARKWAY, Cumming, GA 30041

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Other Names 1

Doing Business AsPediatric Dentistry Of Forsyth

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Jason Neil Bongiovi Dmd PC's NPI number?

The NPI number for R Jason Neil Bongiovi Dmd PC is 1356580633. It was assigned to this organization in the NPPES registry on February 11, 2009. The provider is doing business as Pediatric Dentistry Of Forsyth.

Where is R Jason Neil Bongiovi Dmd PC located?

R Jason Neil Bongiovi Dmd PC is located at 3810 Windemere Parkway Ste 502, Cumming, GA 30041. The listed phone number is (404) 316-0588.

What is R Jason Neil Bongiovi Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for R Jason Neil Bongiovi Dmd PC was last updated on February 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.