DR. JOSE FAJARDO (NPI# 1124423934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124423934 |
| Entity Type | Individual |
| Full Name | DR. JOSE FAJARDO |
| Credential | D.M.D |
| Practice Address |
5720 Buford Hwy Suite 101 Norcross GA 30071-2577 |
| Practice Telephone | 7703681818 |
| Mailing Telephone | 7703681818 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 011347 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699809921 | Jose D Fajardo | Podiatrist | 1620 W Highway 287 Business, Waxahachie, TX 75165-4706 | 2007-03-16 |
| Street Address |
5720 BUFORD HWY SUITE 101 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811041262 | Farmacia Latina Inc | Pharmacy | 5720 Buford Hwy, Ste 102, Norcross, GA 30071-2577 | 2007-01-23 |
| 1699158659 | Tori Durham | Nurse Practitioner | 5720 Buford Hwy, Norcross, GA 30071-2577 | 2015-07-08 |
| 1003244765 | Dr. Kissing Ob & Gyn | Specialist | 5720 Buford Hwy, 102, Norcross, GA 30071-2577 | 2013-10-16 |
| 1417241399 | Tressa Scineaux | Obstetrics & Gynecology | 5720 Buford Hwy, Suite 102, Norcross, GA 30071-2577 | 2011-06-08 |
| 1609082122 | Jose L. Fajardo, D.m.d,p.c. | Dentist | 5720 Buford Hwy, Suite 101, Norcross, GA 30071-2577 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| 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 |
|---|---|---|---|---|
| 1093373920 | Thao Phuong Pham | Dentist | 5395 Jimmy Carter Blvd # 700-a, Norcross, GA 30093-1502 | 2019-06-05 |
| 1255807707 | Soh of Georgia Ozf PC | Dentist | 5836 Buford Hwy Ste B, Norcross, GA 30071-2581 | 2018-10-22 |
| 1871079681 | Lola Hyeji Oh | Dentist | 6139 Oakbrook Pkwy, Norcross, GA 30093-1705 | 2018-07-15 |
| 1871049767 | Faraz Soltanian | Dentist | 4141 Steve Reynolds Blvd Ste 2, Norcross, GA 30093-3060 | 2016-08-30 |
| 1710358841 | Imagix Dental of Norcross LLC | Dentist | 5270 Peachtree Pkwy Ste 101, Norcross, GA 30092-2558 | 2015-10-15 |
| 1982002309 | Carterr-rockbridge General Dentistry,pc | Dentist | 5050 Jimmy Carter Blvd Ste 320, Norcross, GA 30093-2759 | 2014-12-17 |
| 1427466887 | Hanh Thi Hong Nguyen | Dentist | 4782 Jimmy Carter Blvd Ste 4, Norcross, GA 30093-3714 | 2014-07-30 |
| 1003170135 | Chu Kai Liang | Dentist | 5924 Brookside Oak Cir, Norcross, GA 30093-1752 | 2012-07-03 |
| 1306100060 | Aristo Shyn | Dentist | 5635 Peachtree Pkwy Ste 240, Norcross, GA 30092-2823 | 2012-06-27 |
| 1679835078 | Tina Sampat | Dentist | 827 Grey Rock Rd, Norcross, GA 30093-4985 | 2012-06-12 |
| Find all providers in NORCROSS | ||||
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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.