JEFFREY R. PRINSELL, DMD, MD, P.C. (NPI# 1164449898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164449898 |
| Entity Type | Organization |
| Organization Name | JEFFREY R. PRINSELL, DMD, MD, P.C. |
| Practice Address |
1950 Spectrum Cir Se Ste B300 Marietta GA 30067-1657 |
| Practice Telephone | 7709569856 |
| Practice Fax Number | 7709569879 |
| Mailing Telephone | 7709569856 |
| Mailing Fax Number | 7709569879 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFFREY R PRINSELL (ORAL & MAXILLOFACIAL SURGEON /OWNER) |
| Authorized Official Telephone | 7709569856 |
| Authorized Official Credential | DMD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
DN 010735 | GA | Ambulatory Health Care Facilities |
| Street Address |
1950 SPECTRUM CIR SE STE B300 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134682859 | North Atlanta Oral and Maxillofacial Surgery | Clinic/Center | 2555 Westside Pkwy Ste 350, Alpharetta, GA 30004-4191 | 2019-04-09 |
| 1659789170 | Blue Ocean Oral & Maxillofacial Surgery | Clinic/Center | 260 Rucker Rd, Suite 400, Alpharetta, GA 30004-4198 | 2014-07-28 |
| 1356983746 | Cornerstone Oral and Maxillofacial Surgery | Clinic/Center | 403 Cowart Ave, Valdosta, GA 31602-2635 | 2019-10-17 |
| 1962936302 | Robert S. Attia, Dmd, LLC | Clinic/Center | 1150 Grimes Bridge Rd, Suite 200, Roswell, GA 30075-3988 | 2017-04-12 |
| 1023327822 | North Georgia Oral Surgery, P.C. | Clinic/Center | 6304 Old Highway 5, Suite 102, Woodstock, GA 30188-2443 | 2010-09-28 |
| 1396064986 | Smyrna Oral and Maxillofacial Surgery and Implantology Center, LLC | Clinic/Center | 4849 S Cobb Dr Se, Unit 200, Smyrna, GA 30080-7145 | 2010-05-23 |
| 1285887497 | Robert J. Kakos Dds PC | Clinic/Center | 1150 Grimes Bridge Rd, Ste. 200, Roswell, GA 30075-3988 | 2008-10-31 |
| 1063682680 | Vidalia Oral and Maxillofacial Surgery, P.C. | Clinic/Center | 310 Maple Dr, Vidalia, GA 30474-8909 | 2008-03-11 |
| 1568661510 | Emory Medical Group, LLC | Clinic/Center | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2007-07-11 |
| 1790899490 | John J. Beninato, D.d.s., P.C. | Clinic/Center | 21 John Maddox Dr Nw, Suite B, Rome, GA 30165-1413 | 2006-08-18 |
| 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.