GA DENTISTRY SERVICES PC (NPI# 1053739979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053739979 |
| Entity Type | Organization |
| Organization Name | GA DENTISTRY SERVICES PC |
| Other Organization Name | ASPEN DENTAL |
| Practice Address |
1430 Highway 20 W Mcdonough GA 30253-7305 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 6785376000 |
| Mailing Telephone | 3154546000 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |
| Authorized Official Name | CANDACE LAUDERDALE (DMD/INCORPORATOR) |
| Authorized Official Telephone | 3154546000 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13892 | GA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Aspen Dental | Doing Business As Name - Organization |
| Street Address |
1430 HIGHWAY 20 W |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-7305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568986198 | Candis Marie Callaway | Dentist | 1430 Highway 20 W, Mcdonough, GA 30253-7305 | 2017-07-25 |
| 1740726025 | Kevin D. Oh, LLC | Dentist | 1430 Highway 20 W, Mcdonough, GA 30253-7305 | 2017-01-11 |
| 1386043123 | Megan Michelle Henry | Dentist | 1430 Highway 20 W, Mcdonough, GA 30253-7305 | 2014-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| 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 |
|---|---|---|---|---|
| 1023598422 | Georgia Dental Professionals, PC | Dentist | 2140 Highway 20 W, Mcdonough, GA 30253-7205 | 2018-08-16 |
| 1295036028 | Dentistry for Children of Mcdonough, LLC | Dentist | 1409 Highway 20 W, Mcdonough, GA 30253-7306 | 2010-11-10 |
| 1063617363 | Natasha M Lee | Dentist | 1613 Highway 20 W, Mcdonough, GA 30253-7311 | 2007-06-18 |
| 1790905784 | Henson and Bidgoly Lllp | Dentist | 175 Decatur Rd, Mcdonough, GA 30253-2025 | 2007-05-01 |
| 1548312986 | Aurelius E. Archie | Dentist | 1540 Pennsylvania Ave, Mcdonough, GA 30253-9112 | 2007-01-17 |
| 1952494999 | Dentfirst PC | Dentist | 1391 Hwy 20 W, Mcdonough, GA 30253-7304 | 2006-10-02 |
| 1437252228 | William H Dellinger Jr. | Dentist | 50 Lawrenceville St, Suite 201, Mcdonough, GA 30253-2369 | 2006-09-07 |
| 1407968506 | Scott A. Brown Dds PC | Dentist | 2093 Jonesboro Rd, Mcdonough, GA 30253-5993 | 2006-08-31 |
| 1780607135 | Timothy Joseph Kaigler | Dentist | 70 Westridge Pkwy, Suite 100, Mcdonough, GA 30253-3048 | 2006-07-26 |
| 1548207624 | Vivian T Le | Dentist | 378 Jonesboro Rd, Mcdonough, GA 30253-3797 | 2006-05-31 |
| Find all providers in MCDONOUGH | ||||
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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.