DR. PETULA HOM-MINNITI (NPI# 1033264742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033264742 |
| Entity Type | Individual |
| Full Name | DR. PETULA HOM-MINNITI |
| Credential | DDS |
| Practice Address |
270 Saint Claire Dr Suite 104 Alpharetta GA 30004-5728 |
| Practice Telephone | 6789908592 |
| Practice Fax Number | 6789908594 |
| Mailing Telephone | 6789908592 |
| Mailing Fax Number | 6789908594 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN012900 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100300 | 05 | |
| GA | UNITED CONCORDIA | 1765417 | 01 |
| GA | 9179479 | 05 |
| Street Address |
270 SAINT CLAIRE DR SUITE 104 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30004-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669563540 | Lorenzo Minniti | Dentist | 270 Saint Claire Dr, Suite 105, Alpharetta, GA 30004-5728 | 2006-09-27 |
| 1073851572 | Minniti Dentistry, PC | Dentist | 270 Saint Claire Dr, Suites 104-105, Alpharetta, GA 30004-5728 | 2013-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065823 | Rena Wilson | Neuromusculoskeletal Medicine, Sports Medicine | 3442 Francis Road Suite 130, Alpharetta, UNITED STATES 30004 | 2020-05-19 |
| 1538665963 | Pinnacle Endodontics of Crabapple, LLC | Dentist | 12250 Crabapple Road, Alpharetta, GA 30004 | 2018-04-04 |
| 1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
| 1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
| 1881109684 | B.spectacled | Optometrist | 50 Canton Street, Ste 112, Alpharetta, GA 30004 | 2017-12-04 |
| 1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
| 1043696735 | Caregiver Health Solutions, LLC | Home Health | 3505 Peacock Rd, Alpharetta, GA 30004 | 2015-08-04 |
| 1124418371 | Francella Bonilla | Physical Therapy Assistant | 4805 Waterbrooke Xing, Alpharetta, GA 30004 | 2015-01-27 |
| 1548672082 | Crabapple Smiles Dental Group PC | Dentist | 12460 Crabapple Road, Suite 801, Alpharetta, GA 30004 | 2014-06-02 |
| 1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
| Find all providers in zip 30004 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689179368 | Kristin Andrea Piche | Dentist | 4205 N Point Pkwy Ste C, Alpharetta, GA 30022-8808 | 2018-03-26 |
| 1538588553 | Lujayn Elkaiali | Dentist | 3455 Old Alabama Rd, Alpharetta, GA 30022-5526 | 2014-04-08 |
| 1598189284 | Alpharetta Pediatric Dentistry and Orthodontics | Dentist | 1030 Cambridge Sq Ste B, Alpharetta, GA 30009-1868 | 2014-02-14 |
| 1063550317 | Pushpa Sundareswaran | Dentist | 2880 Old Alabama Rd, Suite 400, Alpharetta, GA 30022 | 2007-02-01 |
| 1659431252 | Rachel Keleske | Dentist | 11730 Jones Bridge Rd, Ste. B, C, & D, Alpharetta, GA 30005-5077 | 2006-12-12 |
| 1275047904 | Daniel A King Dds, PC | Dentist | 3455 Old Alabama Rd, Alpharetta, GA 30022-5526 | 2017-11-16 |
| 1700126398 | Smile Magic | Dentist | 2880 Old Alabama Rd, Suite 400, Alpharetta, GA 30022-5051 | 2013-02-19 |
| 1073851572 | Minniti Dentistry, PC | Dentist | 270 Saint Claire Dr, Suites 104-105, Alpharetta, GA 30004-5728 | 2013-01-18 |
| 1629242169 | Nanna Ordibehesht Ariaban | Dentist | 4190 Old Milton Pkwy, Suite 2k, Alpharetta, GA 30005-6459 | 2008-04-16 |
| 1922277458 | Monica Gupta | Dentist | 4205 N Point Pkwy, Building C, Alpharetta, GA 30022-8808 | 2008-02-28 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30004 |
Please comment or provide details below to improve the information on DR. PETULA HOM-MINNITI.
| 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.