DENTAL ONE ASSOCIATES (COLLEGE PARK) LLC (NPI# 1154454171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154454171 |
| Entity Type | Organization |
| Organization Name | DENTAL ONE ASSOCIATES (COLLEGE PARK) LLC |
| Practice Address |
1901 Phoenix Blvd # 100 Atlanta GA 30349-5588 |
| Practice Telephone | 7709910913 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-02-22 |
| Authorized Official Name | MIKE COLE (INSURANCE DIRECTOR) |
| Authorized Official Telephone | 7277261611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
1901 PHOENIX BLVD # 100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349-5588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| 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 |
|---|---|---|---|---|
| 1457919987 | Matthew Joseph Giordano | Dentist | 3525 Piedmont Rd Ne Bldg 5-408, Atlanta, GA 30305-1586 | 2019-05-30 |
| 1427519081 | Dentfirst, P.C. | Dentist | 530 17th St Nw Ste 340, Atlanta, GA 30318-5037 | 2019-03-27 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1336632454 | Daniela Lemoine | Dentist | 4920 Roswell Rd Ste 13a, Atlanta, GA 30342-2605 | 2018-06-13 |
| 1164912739 | Affordable Dentures & Implants - West Atlanta, P.C. | Dentist | 3695 Cascade Rd Sw Ste 550, Atlanta, GA 30331-2176 | 2018-05-18 |
| 1720595994 | Rss Michael Dierkes LLC | Dentist | 4920 Roswell Rd Ste 255, Atlanta, GA 30342-2686 | 2018-01-09 |
| 1093239170 | Shima Shahrokhi | Dentist | 195 Grogans Lndg, Atlanta, GA 30350-3131 | 2017-07-31 |
| 1366972556 | Hope Marshall | Dentist | 790 Glenwood Ave Se Ste 210, Atlanta, GA 30316-2024 | 2017-06-19 |
| 1710416466 | Sage Dental Group of Georgia LLC | Dentist | 1 Baltimore Pl Nw Ste 403, Atlanta, GA 30308-2116 | 2017-06-07 |
| 1780111617 | John Dennis Harvey | Dentist | 3350 W Stubbs Rd, Atlanta, GA 30349-1021 | 2017-05-23 |
| Find all providers in ATLANTA | ||||
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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.