MIDTOWN DENTAL STUDIO LLC


Address: 197 14th St Nw, Suite 101, Atlanta, GA 30318-7815
Phone: 4049376940

MIDTOWN DENTAL STUDIO LLC (NPI# 1174868905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174868905
Entity Type Organization
Organization Name MIDTOWN DENTAL STUDIO LLC
Practice Address 197 14th St Nw
Suite 101
Atlanta
GA 30318-7815
Practice Telephone 4049376940
Mailing Telephone 4049376940
Enumeration Date 2012-12-05
Last Update Date 2012-12-05
Authorized Official Name DR. TRAVON J HOLT (CEO/DENTIST)
Authorized Official Telephone 4049376940
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Office Location

Street Address 197 14TH ST NW
SUITE 101
City ATLANTA
State GA
Zip Code 30318-7815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427430412 Georgia Disc and Neuropathy PC Health Maintenance Organization 197 14th St Nw, Suite 100, Atlanta, GA 30318-7815 2015-06-25
1962845362 Midtown Specialty Group, LLC Orthopaedic Surgery 197 14th St Nw, Suite 100, Atlanta, GA 30318 2013-04-16

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NPI Name Taxonomy Address Enumeration
1659970408 Laura N Gillespie Physician Assistant 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 2020-10-22
1639793664 100 Percent Chiropractic Sberger LLC Chiropractor 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 2020-06-05
1326518945 Sharon Emancia Joseph Nurse Practitioner 1517 Whitehead Bluff Nw, Atlanta, GA 30318 2018-11-27
1124597646 Cindy Denise Oden Registered Nurse 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 2018-11-14
1558838052 Amanda Renee Wilson Social Worker 2118 Adams Overlook Nw, Atlanta, GA 30318 2018-11-01
1386135010 Missions Possible of Atlanta Day Program LLC. Counselor 805 Ayrshire Cir Nw, Atlanta, GA 30318 2018-05-29
1295254639 Danielle Olivia Jones Counselor 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 2017-09-18
1104372317 Kera Baker Massage Therapist 1397 B Carroll Drive Nw, Atlanta, GA 30318 2016-08-28
1588015648 Meridian Corporate Healthcare of Georgia P C Clinic/Center 1000 Techwood Dr Nw, Atlanta, GA 30318 2016-06-29
1104286707 B Webb, Inc Specialist 1675 Lower Roswell Rd, Marietta, GA 30318 2016-02-25
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City ATLANTA
Zip Code 30318

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Dataset Information

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.

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