DR. THOMAS DAVID BOC (NPI# 1093866642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093866642 |
Entity Type | Individual |
Full Name | DR. THOMAS DAVID BOC |
Credential | DDS |
Practice Address |
2500 Hospital Blvd Ste 370 Roswell GA 30076-4907 |
Practice Telephone | 7704421022 |
Practice Fax Number | 7704425738 |
Mailing Telephone | 7704421022 |
Mailing Fax Number | 7704425738 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN008327 | GA | Dental Providers |
Street Address |
2500 HOSPITAL BLVD STE 370 |
City | ROSWELL |
State | GA |
Zip Code | 30076-4907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396748513 | Susanne Michele Hewitt | Ophthalmology | 2500 Hospital Blvd, Suite 115, Roswell, GA 30076-4907 | 2005-05-23 |
1447798715 | North Fulton Hearing Center LLC | Otolaryngology | 2500 Hospital Blvd, Suite 450, Roswell, GA 30076-4907 | 2017-02-07 |
1770941825 | Colorectal Pharmacy Inc | Pharmacy | 2500 Hospital Blvd, Suite 150-a, Roswell, GA 30076-4907 | 2016-02-03 |
1538403407 | North Fulton Pulmonary Specialists, LLC | Internal Medicine | 2500 Hospital Blvd, Suite 420, Roswell, GA 30076-4907 | 2012-11-16 |
1346596921 | Michele Poole Clark | Advanced Practice Midwife | 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4907 | 2012-08-01 |
1174888267 | Parvathi Rayudu | Ophthalmology | 2500 Hospital Blvd, Suite 115, Roswell, GA 30076-4907 | 2012-07-05 |
1588932669 | Georgia Spectrum Neurosurgical Specialists, LLC | Neurological Surgery | 2500 Hospital Blvd, Suite 310, Roswell, GA 30076-4907 | 2011-12-05 |
1083990501 | Georgia Gifts From Grace LLC | Obstetrics & Gynecology | 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4907 | 2011-10-28 |
1659664720 | Georgia North Fulton Healthcare Associates, LLC | Family Medicine | 2500 Hospital Blvd, Ste 340, Roswell, GA 30076-4977 | 2011-05-24 |
1255620159 | Bruce E Bosse Mdpc | Specialist | 2500 Hospital Blvd, Suite 440, Roswell, GA 30076-4907 | 2011-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
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Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053629089 | Oms of Se Nm, LLC | Dentist | 207 N. Union Ste. E, Oms of Se Nm, LLC, Roswell, NM 88201-3068 | 2010-09-24 |
1962526707 | Mollie Ann Winston | Dentist | 10930 Crabapple Rd Ste 160, Roswell, GA 30075-7631 | 2007-03-19 |
1982624375 | Robert James Kakos | Dentist | 1150 Grimes Bridge Rd, Suite 200, Roswell, GA 30075-3988 | 2006-07-20 |
1518351790 | Roswell Oral & Facial Surgery, LLC | Dentist | 207 N Union Ave, Ste E, Roswell, NM 88201-3068 | 2015-03-25 |
1750607024 | Robert Safwat Attia | Dentist | 1150 Grimes Bridge Rd, Suite 200, Roswell, GA 30075-3988 | 2010-04-12 |
1295849792 | Ben M Smith Dmd PC | Dentist | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
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1598370454 | Karin Davis, Dmd, PC | Dentist | 3630 Savannah Pl Ste 250, Duluth, GA 30096-6394 | 2020-09-08 |
1649740796 | Sandy Springs Oral Surgery, LLC | Dentist | 5555 Peachtree Dunwoody Rd Ste G56, Atlanta, GA 30342-1700 | 2018-12-02 |
1700354677 | Cobb Oral Surgery and Dental Implant Center PC | Dentist | 2155 Post Oak Tritt Rd Ste 500, Marietta, GA 30062-8609 | 2018-11-08 |
1245721216 | East Atlanta Oral, Implant and Facial Surgery Center | Dentist | 519 Memorial Dr Se Unit D1, Atlanta, GA 30312-2218 | 2018-05-24 |
1497261960 | Rockwell Oral and Facial Surgery LLC | Dentist | 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 | 2017-12-20 |
1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
1457735995 | Coastal Oral Surgery Associates | Dentist | 110 Office Park Ln, Suite 104, Saint Simons Island, GA 31522-6601 | 2015-07-15 |
1497140719 | Chelsea Elizabeth Johnson | Dentist | 4405 N Stadium Dr Ste A, Columbus, GA 31909-1884 | 2015-04-02 |
1386038396 | Timothy C Jaeger | Dentist | 1360 Caduceus Way Ste 101, Watkinsville, GA 30677-7300 | 2015-03-27 |
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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.