DR. JIMMY LONDONO


Address: 1459 Laney Walker Blvd, Ad-1500, Augusta, GA 30912-0002
Phone: 7067210502

DR. JIMMY LONDONO (NPI# 1225294408) 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) 1225294408
Entity Type Individual
Full Name DR. JIMMY LONDONO
Credential DDS
Practice Address 1459 Laney Walker Blvd
Ad-1500
Augusta
GA 30912-0002
Practice Telephone 7067210502
Practice Fax Number 7067216778
Mailing Telephone 7067210502
Mailing Fax Number 7067216778
Enumeration Date 2008-08-06
Last Update Date 2008-08-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
DNF000346 GA Dental Providers

Office Location

Street Address 1459 LANEY WALKER BLVD
AD-1500
City AUGUSTA
State GA
Zip Code 30912-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639158900 Walter Jack Morris Dentist 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912-0002 2006-01-13
1932725694 Liniya Tauhidul Family Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-18
1740805852 Nafiz Kalam Sheikh Psychiatry & Neurology 1459 Laney Walker Blvd, Augusta, GA 30912-0001 2020-06-15
1265057426 Mallika Patel Internal Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-13
1578188728 Dhruti Prashant Diwan Anesthesiology 1459 Laney Walker Blvd, Augusta, GA 30912-3529 2020-06-13
1043835317 Jesse William Wayson Obstetrics & Gynecology 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1861017139 Mac Bohanan Psychiatry & Neurology 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1609491950 Taylor Payne Internal Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1184249443 Yasasvi Tadavarthi Internal Medicine 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912-0004 2020-06-12
1376168807 Erica Demaagd Pediatrics 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912 2020-06-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
Find all providers in zip 30912

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265815997 Fadi Al Farawati Dentist Au Dental Associates 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0415 2015-06-30
1467693952 Cathy J Smith Dentist 4469 Columbia Rd Ste E, Augusta, GA 30907-4572 2009-03-13
1306068192 Kent Knoernschild Dentist 1120 15th Street, Gc-4200, Augusta, GA 30912 2007-05-03
1801226931 Ahmed Morsy Elsayed Zaher Dentist 1430 John Wesley Gilbert Drive, Faculty Practice (gru School of Dentistry), Augusta, GA 30912 2013-11-27
1053672022 Jae Seon Kim Dentist 1430 John Wesley Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 2012-06-06
1215232103 Abdulmohsin H Alhashim Dentist 1430 John Wesley Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 2011-01-24
1326352162 Darshanjit Singh Pannu Dentist 1459 Laney Walker Blvd, Ad-1119, Augusta, GA 30912-0002 2010-08-04
1104054816 Andreina Josefina Sananez Dentist 1120 15th St, Oral Rehabilitation Dept. Gc-4222, Augusta, GA 30912-0004 2009-07-01
1982859203 Eduardo E Britton Dentist 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0004 2008-12-01
1194944645 Gerard Jules Chiche Dentist 1430 John Wesley Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 2007-04-24
Find all providers in AUGUSTA

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City AUGUSTA
Zip Code 30912

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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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