ORTHODONTIC CARE OF GEORGIA (NPI# 1154555282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154555282 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC CARE OF GEORGIA |
| Other Organization Name | DR, HECTOR M. BUSH, P.C. |
| Practice Address |
1690 Eatonton Rd Madison GA 30650-4628 |
| Mailing Address |
1828 Jonesboro Rd Mcdonough GA 30253-5960 |
| Practice Telephone | 7063427272 |
| Practice Fax Number | 7063427747 |
| Mailing Telephone | 6784328505 |
| Mailing Fax Number | 6784329419 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |
| Authorized Official Name | ROBERT ZAYAS (MANAGER) |
| Authorized Official Telephone | 7063427272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
011309 | GA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dr, Hector M. Bush, P.C. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003040163 | Orthodontic Care of Georgia | Dentist | 1109 S Park St, Suite 203, Carrollton, GA 30117-4462 | 2009-05-05 |
| 1033343041 | Orthodontic Care of Georgia | Dentist | 147 Commerce Ave, Lagrange, GA 30241-2337 | 2009-05-05 |
| 1962636977 | Orthodontic Care of Georgia | Dentist | 3680 Cascade Rd Sw, Suite B, Atlanta, GA 30331-2168 | 2009-05-05 |
| 1427282433 | Orthodontic Care of Georgia | Dentist | 3031 Manchester Expy, Unit 1m, Columbus, GA 31909-6529 | 2009-05-05 |
| 1396979316 | Orthodontic Care of Georgia | Dentist | 7301 Stonecrest Conc, Suite 115, Lithonia, GA 30038-6901 | 2009-05-05 |
| 1346474368 | Orthodontic Care of Georgia | Dentist | 5140 Jimmy Lee Smith Pkwy, Building B Suite 105, Hiram, GA 30141-2745 | 2009-05-05 |
| 1508090515 | Orthodontic Care of Georgia | Dentist | 4011 Atlanta Hwy, Bogart, GA 30622-2212 | 2009-05-05 |
| 1215161237 | Orthodontic Care of Georgia | Dentist | 3312 Northside Dr, Bldg A Suite 160, Macon, GA 31210-2500 | 2009-05-05 |
| 1033343058 | Orthodontic Care of Georgia | Dentist | 3983 Lavista Rd, Suite 192 Thru 196, Tucker, GA 30084-5153 | 2009-05-05 |
| Street Address |
1690 EATONTON RD |
| City | MADISON |
| State | GA |
| Zip Code | 30650-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
| 1942791470 | Kristin Barnett | Social Worker | 256 W Washingtonst, Madison, GA 30650 | 2018-05-21 |
| 1710474275 | M S Publishing and Consulting LLC | Counselor | 256 W. Washiington Street, Madison, GA 30650 | 2018-04-19 |
| 1558818013 | Whitney Rena Walker | Technician | 778 Cooks Hill Rd, Madison, GA 30650 | 2016-09-01 |
| 1023366739 | Xcalibur | Durable Medical Equipment & Medical Supplies | 1071 Hanover Dr, Madison, GA 30650 | 2012-08-28 |
| 1629392170 | Tammy W Rustin | Pharmacist | 1441 Eatonton Rd, Ingles Pharmacy #444, Madison, GA 30650 | 2010-03-25 |
| 1861534463 | John Frederick Mcnees II | Optometrist | 173 So Main St, Madison, GA 30650 | 2007-02-12 |
| 1780746750 | Jacqueline Lamar Gruszynski | Speech-Language Pathologist | 1760 Westminister Way, Madison, GA 30650 | 2006-12-15 |
| 1003917535 | Marilyn S Snow | Counselor | 256 W Washington St, Madison, GA 30650 | 2006-09-26 |
| Find all providers in zip 30650 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336382845 | James Russell Durham | Dentist | 7559c Highway 72 West, Suite 105, Madison, AL 35758-8812 | 2009-04-14 |
| 1851507248 | William Koenig | Dentist | 2040 Hubbard Rd, Madison, OH 44057-2566 | 2007-05-15 |
| 1497809537 | Marion Garr Doyle | Dentist | 624 W Due West Ave, Madison, TN 37115-4402 | 2007-01-23 |
| 1942358635 | Damian O. Fennig | Dentist | 5520 Medical Cir, Madison, WI 53719-1226 | 2007-01-08 |
| 1164599791 | Steven D. Peterson | Dentist | 202 S Gammon Rd, Ste. 150, Madison, WI 53717-1400 | 2006-11-29 |
| 1760559025 | Kenneth Noel Reed Jr. | Dentist | 451 Pebble Creek Drive, Madison, MS 39110 | 2006-11-29 |
| 1518030196 | Jeffrey Joseph Phillips | Dentist | 5605 Odana Rd, Madison, WI 53719-1207 | 2006-11-15 |
| 1902919012 | James Edwin Hatcher | Dentist | 581 Hughes Rd, Madison, AL 35758 | 2006-08-16 |
| 1821008756 | James E Paschal Jr. | Dentist | 153 W Washington St, Madison, GA 30650-1218 | 2006-08-09 |
| 1588611941 | David T Allen | Dentist | 7007 Old Sauk Rd, Suite 101, Madison, WI 53717-2307 | 2006-05-30 |
| Find all providers in MADISON | ||||
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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.