Provider Demographics
NPI:1790987667
Name:WILLIAM J. JAMIESON, D.M.D,P.C.
Entity Type:Organization
Organization Name:WILLIAM J. JAMIESON, D.M.D,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:JAMIESON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-394-0001
Mailing Address - Street 1:5440 DUNWOODY KNOLL CT
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-3215
Mailing Address - Country:US
Mailing Address - Phone:770-395-6210
Mailing Address - Fax:770-395-6210
Practice Address - Street 1:4721 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6000
Practice Address - Country:US
Practice Address - Phone:770-394-0001
Practice Address - Fax:777-394-3262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0127321223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty