DR. JACK LESTER (NPI# 1063599413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063599413 |
| Entity Type | Individual |
| Full Name | DR. JACK LESTER |
| Credential | D.D.S |
| Practice Address |
440 Flat Shoals Ave Se Atlanta GA 30316-1915 |
| Practice Telephone | 4046882223 |
| Practice Fax Number | 4046886602 |
| Mailing Telephone | 4046882223 |
| Mailing Fax Number | 4046886602 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 010906 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000438666A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992218200 | Jack Kelly Lester | Dentist | 469 N Fresno St, Fresno, CA 93701-2311 | 2017-11-08 |
| Street Address |
440 FLAT SHOALS AVE SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649678921 | Smdentalpc | Exclusive Provider Organization | 440 Flat Shoals Ave Se, Atlanta, GA 30316-1915 | 2014-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| 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 |
|---|---|---|---|---|
| 1457919987 | Matthew Joseph Giordano | Dentist | 3525 Piedmont Rd Ne Bldg 5-408, Atlanta, GA 30305-1586 | 2019-05-30 |
| 1427519081 | Dentfirst, P.C. | Dentist | 530 17th St Nw Ste 340, Atlanta, GA 30318-5037 | 2019-03-27 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1336632454 | Daniela Lemoine | Dentist | 4920 Roswell Rd Ste 13a, Atlanta, GA 30342-2605 | 2018-06-13 |
| 1164912739 | Affordable Dentures & Implants - West Atlanta, P.C. | Dentist | 3695 Cascade Rd Sw Ste 550, Atlanta, GA 30331-2176 | 2018-05-18 |
| 1720595994 | Rss Michael Dierkes LLC | Dentist | 4920 Roswell Rd Ste 255, Atlanta, GA 30342-2686 | 2018-01-09 |
| 1093239170 | Shima Shahrokhi | Dentist | 195 Grogans Lndg, Atlanta, GA 30350-3131 | 2017-07-31 |
| 1366972556 | Hope Marshall | Dentist | 790 Glenwood Ave Se Ste 210, Atlanta, GA 30316-2024 | 2017-06-19 |
| 1710416466 | Sage Dental Group of Georgia LLC | Dentist | 1 Baltimore Pl Nw Ste 403, Atlanta, GA 30308-2116 | 2017-06-07 |
| 1780111617 | John Dennis Harvey | Dentist | 3350 W Stubbs Rd, Atlanta, GA 30349-1021 | 2017-05-23 |
| Find all providers in ATLANTA | ||||
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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.