NPI age
17 years
Enumerated 2009-02-11
● Active Type 2 · Organization
R Jason Neil Bongiovi DMD Pc
R Jason Neil Bongiovi DMD Pc is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bongiovi
President
Last NPPES update
2009-02-11
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
17 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-02Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
3810 Windemere Parkway, Ste 502
Cumming, GA 30041
Mailing address
18 Vernon Glen Ct
Atlanta, GA 303385420
Authorized official
Jason Neil Bongiovi, DMD
President
📞 4043160588
Specialties
-
Dentist PrimaryAn 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pediatric Dentistry of Forsyth
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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