P Praxis·MD
● Active Type 2 · Organization

R Jason Neil Bongiovi DMD Pc

Dentist·Cumming, GA· NPI 1356580633 · Enumerated 2009 · 17 years on NPI
R Jason Neil Bongiovi DMD Pc is 1 of 539 dentist organizations in Georgia.
NPI age
17 years
Enumerated 2009-02-11
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
📞 4043160588
Mailing address
18 Vernon Glen Ct
Atlanta, GA 303385420
📞 4043160588

Authorized official

Jason Neil Bongiovi, DMD
President
📞 4043160588

Specialties

  • Dentist Primary
    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.
    GA license #DN013085 taxonomy 1223P0221X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Pediatric Dentistry of Forsyth
    Type code 3 recorded 2009-02-11

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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