DR. SCOTT O. HENDERSON (NPI# 1093872855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093872855 |
| Entity Type | Individual |
| Full Name | DR. SCOTT O. HENDERSON |
| Credential | DMD |
| Practice Address |
285 Elm Street Suite 200 Cumming GA 30040 |
| Practice Telephone | 7708872915 |
| Practice Fax Number | 7708870575 |
| Mailing Telephone | 7708872915 |
| Mailing Fax Number | 7708870575 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
011755 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420227 | Scott Robert Henderson | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Me, 98 S. Los Robles Avenue, Pasadena, CA 91101-9110 | 2020-06-02 |
| 1679846570 | Scott Thomas Henderson | Registered Nurse | 10671 Roanna Ln, Saint Louis, MO 63128-1534 | 2012-02-23 |
| 1780725275 | Scott Dewey Henderson | Social Worker | 681 N Main, Richfield, UT 84701 | 2007-02-09 |
| 1649311929 | Scott Allen Henderson | Chiropractor | 3663 College St Se Ste F, Lacey, WA 98503-3529 | 2007-02-09 |
| 1417004300 | Scott James Henderson | Anesthesiology | Overland Park Reg. Med Center, Dept. of Anesthesiology, 10500 Quivira Road, Overland Park, KS 66215 | 2007-01-04 |
| 1174595383 | Scott Henderson | Physician Assistant | 1101 Wootton Pkwy, Suite 100, Rockville, MD 20852-1059 | 2006-02-02 |
| 1003214339 | Scott Henderson | Counselor | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2014-12-18 |
| 1225116767 | Scott David Henderson | Dentist | 15250 E Orchard Rd, Centennial, CO 80016-3003 | 2006-11-01 |
| 1720178940 | Scott J Henderson | Physical Therapist | 4069 Lake Dr Se, Ste 114, Grand Rapids, MI 49546-8816 | 2006-10-16 |
| 1700997459 | Scott T Henderson | Family Medicine | 1020 Hitt Street, Columbia, MO 65212-0001 | 2006-08-31 |
| Street Address |
285 ELM STREET SUITE 200 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518026558 | Childrens Dentistry of Cumming | Dentist | 285 Elm Street, Ste 101, Cumming, GA 30040 | 2006-12-06 |
| 1073670840 | Robert M Joiner | Dentist | 285 Elm Street, Suite 200, Cumming, GA 30040 | 2007-01-02 |
| 1689731457 | Advanced Dental Associates LLC | Dentist | 285 Elm Street, Suite 200, Cumming, GA 30040 | 2007-01-02 |
| 1831256692 | Doris Deborah Porres | Dentist | 285 Elm Street, Suite 200, Cumming, GA 30040 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| 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 |
|---|---|---|---|---|
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1255992517 | Maya Basu | Dentist | 1200 Bald Ridge Marina Rd Ste 200, Cumming, GA 30041-8526 | 2019-06-26 |
| 1760996656 | Cumming Dental Associates, PC | Dentist | 7185 Colfax Ave., Cumming, GA 30040 | 2017-11-30 |
| 1669812558 | Kylee Bishop | Dentist | 285 Elm St Ste 301, Cumming, GA 30040-8233 | 2013-06-25 |
| 1225310592 | Iryna Korniyenko Yelisetty | Dentist | 1475 Peachtree Pkwy Ste C3, Cumming, GA 30041-9793 | 2011-09-13 |
| 1245533868 | Heartland Dental Care of Georgia | Dentist | 1595 Peachtree Pkwy Ste 207, Cumming, GA 30041-9583 | 2010-12-21 |
| 1700187549 | Dentistry for Children of Cumming I, LLC | Dentist | 5071 Post Rd Ste 304, Cumming, GA 30040-5442 | 2010-11-10 |
| 1922235399 | Victor A Robinson | Dentist | 1530 Market Place Blvd, Cumming, GA 30041-7926 | 2009-06-12 |
| 1831335728 | Elaine C Powalka | Dentist | 1970 Habersham Marina Rd, Cumming, GA 30041 | 2008-12-23 |
| 1679793236 | Clyde G Steed Jr. | Dentist | 2350 Atlanta Hwy, Suite 100, Cumming, GA 30040-8026 | 2007-04-26 |
| Find all providers in CUMMING | ||||
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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.