MITCHELL BRIDGE DENTAL II (NPI# 1083850150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083850150 |
| Entity Type | Organization |
| Organization Name | MITCHELL BRIDGE DENTAL II |
| Practice Address |
1171 Mitchell Bridge Rd Ste A Athens GA 30606-6475 |
| Practice Telephone | 7065482651 |
| Practice Fax Number | 7065431052 |
| Mailing Telephone | 7065482651 |
| Mailing Fax Number | 7065431052 |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |
| Authorized Official Name | DR. MELODY HIGGINBOTHAM (DR) |
| Authorized Official Telephone | 7065482651 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
DN012547 | GA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN010077 | GA | Ambulatory Health Care Facilities |
| Street Address |
1171 MITCHELL BRIDGE RD STE A |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-6475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1407346505 | Barry D. Simmons, Dds, PC | Clinic/Center | 847 S Milledge Ave, Athens, GA 30605-1331 | 2018-05-14 |
| 1235642893 | Secd Athens | Clinic/Center | 22051 Hwy 72 East, F, Athens, AL 35613-3561 | 2017-11-06 |
| 1982079042 | Alabama Mobile Dental Care, P.C. | Clinic/Center | 22041 Us Highway 72, Suite C, Athens, AL 35613-2614 | 2015-12-01 |
| 1669628533 | Epps Village Family Dentistry,llc | Clinic/Center | 1720 Epps Bridge Pkwy Ste 110, Athens, GA 30606-6131 | 2008-08-12 |
| 1487812103 | Mcrae Family Dental PC | Clinic/Center | 995 Baxter Street, Athens, GA 30606 | 2008-05-29 |
| 1760904569 | Advanced Athens Dentistry, PC | Clinic/Center | 1155 Cedar Shoals Dr, Athens, GA 30605-3592 | 2017-07-13 |
| 1962660795 | Glenn C. Alex, D.m.d. | Clinic/Center | 140 Trinity Pl, Building A, Athens, GA 30607-2100 | 2008-05-29 |
| 1114100070 | Doctors Dugan and Dugan, LLC | Clinic/Center | 1132 W Madison Ave, Athens, TN 37303-4105 | 2007-12-13 |
| Find all providers in ATHENS | ||||
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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.