GEORGIA DENTAL PROFESSIONALS, PC (NPI# 1164029757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164029757 |
| Entity Type | Organization |
| Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
| Practice Address |
9925 Haynes Bridge Rd Johns Creek GA 30022-8532 |
| Practice Telephone | 4702976700 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | TABATHA LEMKE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175406078 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Haynes Bridge Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098214 | Georgia Dental Professionals, PC | Dentist | 3000 Chapel Hill Rd Ste 104, Douglasville, GA 30135-1841 | 2020-09-21 |
| 1063028769 | Georgia Dental Professionals, PC | Dentist | 3364 Hamilton Mill Rd, Buford, GA 30519-4005 | 2020-09-17 |
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1780220194 | Georgia Dental Professionals, PC | Dentist | 4355 Towne Lake Pkwy, Woodstock, GA 30189-8150 | 2019-11-20 |
| 1831746999 | Georgia Dental Professionals, PC | Dentist | 1207 Highway 74 S, Peachtree City, GA 30269-3078 | 2019-08-23 |
| 1972165207 | Georgia Dental Professionals, PC | Dentist | 516 Ga Highway 247 S, Bonaire, GA 31005-3865 | 2019-07-08 |
| 1710546148 | Georgia Dental Professionals, PC | Dentist | 8022 Cumming Hwy, Canton, GA 30115-9337 | 2019-06-10 |
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| Street Address |
9925 HAYNES BRIDGE RD |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30022-8532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639723562 | Ji Hea Min | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2019-07-29 |
| 1578117933 | Soonji Kwon | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2019-07-24 |
| 1265954242 | Shrina Chandrakant Patel | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2017-07-12 |
| 1073987129 | Nhi Tran | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2015-11-30 |
| 1487992087 | Barbara Davis | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2013-01-17 |
| 1558608612 | Dee Faucett Vallee | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2013-01-09 |
| 1265720593 | Gary L Nelson | Dentist | 9925 Haynes Bridge Rd, Suite 700, Johns Creek, GA 30022-8532 | 2011-07-20 |
| 1942519681 | Bender Eyecare Inc. | Optometrist | 9925 Haynes Bridge Rd, Suite 710a, Johns Creek, GA 30022-8532 | 2010-09-29 |
| 1326275173 | Johns Creek Dental Excellence, P.C. | Clinic/Center | 9925 Haynes Bridge Rd, #700, Johns Creek, GA 30022-8532 | 2009-06-19 |
| 1205861846 | Kristin L Bender | Optometrist | 9925 Haynes Bridge Rd, Suite 710a, Johns Creek, GA 30022-8532 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| 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 |
|---|---|---|---|---|
| 1528611050 | Jaime Cheung | Dentist | 4940 Agate Dr, Johns Creek, GA 30022-7367 | 2019-07-23 |
| 1205341435 | Moosa Dalwai | Dentist | 450 Darrow Dr, Johns Creek, GA 30097-2430 | 2017-12-11 |
| 1013201904 | Daniel Woohyun Cho | Dentist | 10505 Stonepoint Pl, Johns Creek, GA 30097-5955 | 2011-06-08 |
| 1710012943 | Alim Jamal Grant Sr. | Dentist | 3280 Old Alabama Rd, Suite 200, Johns Creek, GA 30022-8544 | 2007-02-21 |
| 1831240605 | Brian John Dowd | Dentist | 9775 Medlock Bridge Road, Johns Creek, GA 30097 | 2007-01-16 |
| 1477656825 | James G Forester | Dentist | 9590 Medlock Bridge Road, Suite F, Johns Creek, GA 30097-5987 | 2006-09-07 |
| 1871607309 | Frank William Maybusher | Dentist | 395 Cadeleigh Ct, Johns Creek, GA 30005-8925 | 2006-08-19 |
| 1215576160 | Georgia Dental Professionals, PC | Dentist | 2880 Old Alabama Rd, Johns Creek, GA 30022-5031 | 2019-12-24 |
| 1073979837 | H&b Family Dental, LLC | Dentist | 10360 Medlock Bridge Rd, Suite D, Johns Creek, GA 30097-5927 | 2016-01-10 |
| 1376929125 | Shawn A. Walls, Dds, PC | Dentist | 10700 Medlock Bridge Rd, Suite 202, Johns Creek, GA 30097-8456 | 2015-08-04 |
| Find all providers in JOHNS CREEK | ||||
| City | JOHNS CREEK |
| Zip Code | 30022 |
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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.