Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

R Jason Neil Bongiovi DMD PC

Organization Pediatric Dentistry · NPI 1356580633

R Jason Neil Bongiovi DMD PC provides Pediatric Dentistry in Cumming, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3810 Windemere Pkwy Ste 502
Cumming, GA 30041 Not confirmed with CMS for 17 years — call before visiting
Phone: (404) 316-0588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN013085 (GA)

Record details

NPI number1356580633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Bongiovi — President · (404) 316-0588
Other names Pediatric Dentistry Of Forsyth
NPI enumeratedFebruary 11, 2009
Last updated in NPPESFebruary 11, 2009
Mailing address18 Vernon Glen Ct, Atlanta, GA 30338-5420

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