KATHLEEN MORELAND BURDETTE (NPI# 1023501152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023501152 |
| Entity Type | Individual |
| Full Name | KATHLEEN MORELAND BURDETTE |
| Practice Address |
663 S 9th St Griffin GA 30224-4215 |
| Mailing Address |
1646 Sabastian Pt Ne Atlanta GA 30329-4705 |
| Practice Telephone | 7702279693 |
| Mailing Telephone | 9082569564 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN015662 | GA | Dental Providers |
| Street Address |
663 S 9TH ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487701173 | Magusiak & Morgan, LLP | Dentist | 663 S 9th St, Griffin, GA 30224-4215 | 2007-01-04 |
| 1568686418 | Jody Brian Morgan | Dentist | 663 S 9th St, Griffin, GA 30224-4215 | 2007-04-12 |
| 1538382254 | David Anthony Magusiak | Dentist | 663 S 9th St, Griffin, GA 30224-4215 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083928873 | Germaine Bawak Desir | Dentist | 409 W Solomon Street, Griffin, GA 30223-3563 | 2010-08-04 |
| 1659555811 | Mark Martindale | Dentist | 1528 Lucky St, Griffin, GA 30223-1176 | 2007-12-24 |
| 1144383092 | Abe Chab | Dentist | 317 South Hill Street, Griffin, GA 30224 | 2006-12-19 |
| 1073057956 | Addevale Family Dentistry, P.C. | Dentist | 210 Addavale St, Griffin, GA 30224-4217 | 2016-12-12 |
| 1033590534 | Jason Allred | Dentist | 743 S 8th St, Griffin, GA 30224-4818 | 2015-06-11 |
| 1063732691 | Marc Brandon Allred | Dentist | 743 S 8th St, Griffin, GA 30224-4818 | 2010-06-05 |
| 1801083415 | Zoe Simone Checkley Griffith | Dentist | 218 S 11th St, Griffin, GA 30224-2810 | 2007-09-27 |
| 1962602508 | Kevin Mark Kirkland | Dentist | 675 S 8th St, Griffin, GA 30224-4243 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920445 | Islands Family Dental, LLC | Dentist | 3 Wilmington Village Way, Savannah, GA 31410-3700 | 2020-10-19 |
| 1528665486 | Mount Vernon Dental Group, LLC | Dentist | 2472 Jett Ferry Rd Ste 430, Dunwoody, GA 30338-3059 | 2020-10-05 |
| 1144835570 | Affordable Dentures & Implants of Georgia II, LLC | Dentist | 3675 Satellite Blvd Ste 700, Duluth, GA 30096-2309 | 2020-09-11 |
| 1164037800 | Darby Kathryn Gentry | Dentist | 3585 Lawrenceville Suwanee Rd # 101-a, Suwanee, GA 30024-7058 | 2020-09-10 |
| 1437763380 | Ah Chong | Dentist | 755 Commerce Dr Ste 513, Decatur, GA 30030-2618 | 2020-09-08 |
| 1992319271 | Jillian Nicole Felton | Dentist | 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 | 2020-09-03 |
| 1295347748 | Elizabeth W Muraya | Dentist | 5218 Jimmy Lee Smith Pkwy Ste 100, Hiram, GA 30141-2747 | 2020-08-17 |
| 1942818182 | Prasanthi Pattabhi | Dentist | 2993 Normandy Rdg, Lawrenceville, GA 30044-7869 | 2020-07-14 |
| 1700404522 | Rocio Jacobo Rubio | Dentist | 23 Old Atlanta Hwy Ste 200, Newnan, GA 30263-6341 | 2020-07-08 |
| 1265059364 | Abboss Sharifzadeh | Dentist | 4090 Jiles Rd Nw, Kennesaw, GA 30144-1105 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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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.