Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164101945 Individual Practitioner Male Practitioner

Dr. Jongbin Wie , DMD

Dentist - General Practice • Canton, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jongbin Wie, DMD is a registered healthcare professional specializing in Dentist - General Practice in Canton, GA. Practice services are available at 1425 RIVERSTONE PKWY # 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1425 Riverstone Pkwy # 200

Canton, GA 301145611

Telephone 7704790600
Associated Practice Facility / Clinic
🏢 Canton Smiles Dentistry, Pc Facility NPI 1093149486

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
29 Specialists

Practicing in Canton, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123098

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

1610 Apple Blossom Dr

Cumming, GA 300417782

Phone: 9549522081

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Shaletha Bolden , DDS, MSD

Dentist - Endodontics

NPI 1013171438

Doctor of Dental Surgery, MSD

Dr. Niang Muang , DMD

Dentist - General Practice

NPI 1154216216

Doctor of Dental Medicine

NPI 1215442017

Doctor of Dental Medicine

Dr. Megan Davidson , DMD

Dentist - General Practice

NPI 1346841624

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2023

Registered at 1425 RIVERSTONE PKWY # 200, CANTON, GA 301145611 (Tel: 7704790600)

📍
Updated Business Mailing Address July 18, 2023

Registered at 1425 RIVERSTONE PKWY STE 200, CANTON, GA 301145611 (Tel: 9549522081)

👤
Provider Name / Credentials Updated July 18, 2023

Recorded as JONGBIN WIE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2023

Dentist (License #DN123098 in GA)

🟢
Initial NPI Registration & Enumeration July 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164101945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2023
Last Update: July 18, 2023
Sole Proprietor: No

Mailing Address

1425 Riverstone Pkwy Ste 200

Canton, GA 301145611

Phone: 9549522081

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.