LISA M JUDGE (NPI# 1013172659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013172659 |
| Entity Type | Individual |
| Full Name | LISA M JUDGE |
| Credential | D.D.S |
| Practice Address |
1230 Powers Ferry Rd # 6 Marietta GA 30067 |
| Mailing Address |
1230 Powers Ferry Rd # 6 Marietta GA 30067-5495 |
| Practice Telephone | 7705410101 |
| Mailing Telephone | 7705410101 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2018-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4430 | LA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN011180 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000764112B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326327172 | Lisa Marie Judge | Speech-Language Pathologist | 44 Lawson Farm Rd, Londonderry, NH 03053-2671 | 2011-08-11 |
| 1952336976 | Lisa Clare Judge | Social Worker | Box 503, 1011 W 31st St, Austin, TX 78705 | 2006-07-11 |
| 1932175973 | Lisa M Judge | Obstetrics & Gynecology | 552 Twin Cities Blvd, Suite C, Niceville, FL 32578-1055 | 2006-02-28 |
| 1780912311 | Lisa Marie Judge | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2009-11-19 |
| 1114981263 | Lisa Suzanne Judge | Pediatrics | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-04-14 |
| Street Address |
1230 POWERS FERRY RD # 6 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659028 | My Emergency Dental Ga, LLC | Dentist | 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 | 2020-11-02 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1104381359 | Castiblanco Dental Care LLC | Dentist | 3901 Roswell Rd Ste 220, Marietta, GA 30062-8816 | 2019-02-01 |
| 1982102653 | Superior Dental of East Cobb, LLC | Dentist | 2745 Sandy Plains Rd Ste 118, Marietta, GA 30066-4327 | 2018-01-29 |
| 1477068823 | Gina Dental LLC | Dentist | 1000 Johnson Ferry Rd Ste E125, Marietta, GA 30068-2100 | 2017-12-07 |
| 1669994109 | Boban Fidanoski | Dentist | 1150 Whitlock Ave Nw, Marietta, GA 30064-1933 | 2017-07-15 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1659724532 | Neha Chakravarti | Dentist | 2230 Roswell Rd Ste 200, Marietta, GA 30062-2945 | 2016-07-15 |
| 1104218361 | Georgia Dental Professionals, PC | Dentist | 3052 Shallowford Rd Ste 100, Marietta, GA 30062-1252 | 2015-02-25 |
| 1124429212 | Family Tree Dental D Austin Rehl Dds and Peter E Lovejoy Dds LLC | Dentist | 30 Acme St, Marietta, OH 45750-3306 | 2014-09-09 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.