NORCROSS PEDIATRIC DENTISTRY (NPI# 1124561022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124561022 |
| Entity Type | Organization |
| Organization Name | NORCROSS PEDIATRIC DENTISTRY |
| Practice Address |
5635 Peachtree Pkwy Suite 200 Norcross GA 30092-2879 |
| Practice Telephone | 7706511000 |
| Mailing Telephone | 7706511000 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |
| Authorized Official Name | DR. VISHANT NATH (DENTIST) |
| Authorized Official Telephone | 7706511000 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN013057 | GA | Dental Providers |
| Street Address |
5635 PEACHTREE PKWY SUITE 200 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-2879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457456956 | Susan J. Baker | Dentist | 5635 Peachtree Pkwy, Suite 200, Norcross, GA 30092-2812 | 2006-09-13 |
| 1740649177 | Iclear Orthodontics and Braces North LLC | Dentist | 5635 Peachtree Pkwy, Suite 200, Norcross, GA 30092-2879 | 2016-02-12 |
| 1700298734 | Kristina Mohme Dawson | Dentist | 5635 Peachtree Pkwy, Suite 220, Norcross, GA 30092-2879 | 2014-05-26 |
| 1437429156 | Michaelene Sage Kearney | Specialist | 5635 Peachtree Pkwy, Suite 170, Norcross, GA 30092-2879 | 2012-01-11 |
| 1467732834 | Jeremy Simms Alexander Dds PC | Preferred Provider Organization | 5635 Peachtree Pkwy, 100, Norcross, GA 30092-2879 | 2011-08-17 |
| 1982931028 | Resolutions Counseling and Consulting Group | Counselor | 5635 Peachtree Pkwy, Suite 250, Norcross, GA 30092-2879 | 2009-11-10 |
| 1699919126 | Damian Richard Jimenez | Dentist | 5635 Peachtree Pkwy, Suite 100, Norcross, GA 30092-2879 | 2009-04-28 |
| 1518119742 | Infinity Healthcare Group, PC | Chiropractor | 5635 Peachtree Pkwy, Suite 250, Norcross, GA 30092-2879 | 2008-10-21 |
| 1104996966 | Edward H Mohme | Dentist | 5635 Peachtree Pkwy, Suite 220, Norcross, GA 30092-2823 | 2006-11-09 |
| 1225124647 | Andrew Lee Mccanless Sr. | Dentist | 5635 Peachtree Pkwy, Suite 240, Norcross, GA 30092-2812 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
| 1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
| 1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
| 1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| Find all providers in zip 30092 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427462720 | Icare Kids Dentistry Inc. | Dentist | 1568 Indian Trail Lilburn Rd # 201, Norcross, GA 30093-2613 | 2014-06-13 |
| 1609128818 | Suket PC | Dentist | 1235 Indian Trail Rd, Norcross, GA 30093-4502 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895002 | Ashley Starnesdmd LLC | Dentist | 5482 Chamblee Dunwoody Rd Ste 9, Dunwoody, GA 30338-4142 | 2020-09-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1366060618 | A Dental Home 4 Kidz | Dentist | 155 Carnegie Pl Ste 201, Fayetteville, GA 30214-3981 | 2020-07-13 |
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1629619200 | Peachtree Hills Pediatric Dentistry | Dentist | 2385 Peachtree Rd Ne Ste A2ab, Atlanta, GA 30305-4139 | 2019-10-04 |
| 1871145557 | Dogwood Pediatric Dentistry of Statesboro, LLC | Dentist | 123 Hill Pond Ln, Statesboro, GA 30458-0872 | 2019-07-12 |
| 1952969396 | Ns3 Services, LLC | Dentist | 1039 Grant St Se Ste B11, Atlanta, GA 30315-2050 | 2019-05-31 |
| 1871050872 | Warner Robins Pediatric Dentistry LLC | Dentist | 102 S Houston Rd, Warner Robins, GA 31088-3904 | 2019-02-26 |
| 1730646886 | Smiles for Kids Norcross PC | Dentist | 3953 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-5201 | 2019-02-25 |
| 1073083127 | Pediatric Dentistry of Central Georgia - Macon LLC | Dentist | 5437 Bowman Rd Ste 300, Macon, GA 31210-6575 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
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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.