DR. CYNTHIA S DITSLEAR (NPI# 1235340852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235340852 |
| Entity Type | Individual |
| Full Name | DR. CYNTHIA S DITSLEAR |
| Credential | D.D.S |
| Practice Address |
3001 Gordon Hwy Grovetown GA 30813-3808 |
| Mailing Address |
412 Bakers Ferry Trl Martinez GA 30907-4924 |
| Practice Telephone | 7068554866 |
| Mailing Telephone | 7066510641 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN012691 | GA | Dental Providers |
| Street Address |
3001 GORDON HWY |
| City | GROVETOWN |
| State | GA |
| Zip Code | 30813-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477674497 | Judieth Evonne Baker-brown | Internal Medicine | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-04-03 |
| 1982211520 | Elijah Lee Carter | Rehabilitation Counselor | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2020-09-28 |
| 1902397151 | Augusta State Medical Prison | Pharmacy | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2018-05-23 |
| 1598144065 | William Cheatam | Physician Assistant | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2015-05-29 |
| 1578942769 | Georgia Dept. of Corrections | General Acute Care Hospital | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2015-05-21 |
| 1558740704 | Colette Vincent | Nurse Practitioner | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2015-05-20 |
| 1336383751 | Tiffany Nicole Parks | Internal Medicine | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2009-04-29 |
| 1366653313 | Millie Reeves | Physician Assistant | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-24 |
| 1073724894 | Smitha Suraj | Internal Medicine | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-24 |
| 1427261130 | Timothy Young | General Practice | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598276412 | Georgia Dental Professionals, PC | Dentist | 9596 Bentley Dr., Grovetown, GA 30813 | 2017-10-18 |
| 1558891895 | Jennifer M Humm | Dentist | 250 Merridian Drive, Grovetown, GA 30813 | 2017-06-19 |
| 1710335443 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 435 Lewiston Rd, Grovetown, GA 30813 | 2016-06-03 |
| 1558727214 | Lynda R Green | Counselor | 426 Northrop Place, Grovetown, GA 30813 | 2016-01-11 |
| 1689002610 | Patriots Park Dental, LLC | Dentist | 701 Devika Drive, Ste 10, Grovetown, GA 30813 | 2013-10-30 |
| 1255680096 | David Schulte Jr. | Internal Medicine | 925 Branch Ct Ste 2101, Grovetown, GA 30813 | 2012-09-07 |
| 1548519481 | Ashley Roberts Saunders | Pharmacist | 869 Horizon South Parkway, Grovetown, GA 30813 | 2012-09-06 |
| 1447569694 | Wallace Allen Partridge Jr. | Pharmacist | 5104 Wrightsboro Rd., Fred's Pharmacy 1699, Grovetown, GA 30813 | 2010-10-05 |
| 1497908149 | Sharon M Blair | Registered Nurse | 7640 Pleasantville Way, Grovetown, GA 30813 | 2008-10-28 |
| 1710160791 | Rebecca Meek | Nurse Practitioner | 469 Lewiston Rd, Grovetown, GA 30813 | 2007-12-12 |
| Find all providers in zip 30813 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217202 | Danielle Griffin Owen | Dentist | 9596 Bentley Dr, Grovetown, GA 30813-0279 | 2019-07-22 |
| 1558891895 | Jennifer M Humm | Dentist | 250 Merridian Drive, Grovetown, GA 30813 | 2017-06-19 |
| 1487108783 | William Oillie Key IIi | Dentist | 701 Devika Dr Ste 10, Grovetown, GA 30813-5137 | 2016-08-04 |
| 1093107435 | Alexander Dental Associates PC | Dentist | 5176 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2015-02-23 |
| 1659668499 | Julia Nicole Wheeler | Dentist | 5172 Wrightsboro Rd, Grovetown, GA 30813-2802 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920445 | Islands Family Dental, LLC | Dentist | 3 Wilmington Village Way, Savannah, GA 31410-3700 | 2020-10-19 |
| 1528665486 | Mount Vernon Dental Group, LLC | Dentist | 2472 Jett Ferry Rd Ste 430, Dunwoody, GA 30338-3059 | 2020-10-05 |
| 1144835570 | Affordable Dentures & Implants of Georgia II, LLC | Dentist | 3675 Satellite Blvd Ste 700, Duluth, GA 30096-2309 | 2020-09-11 |
| 1164037800 | Darby Kathryn Gentry | Dentist | 3585 Lawrenceville Suwanee Rd # 101-a, Suwanee, GA 30024-7058 | 2020-09-10 |
| 1437763380 | Ah Chong | Dentist | 755 Commerce Dr Ste 513, Decatur, GA 30030-2618 | 2020-09-08 |
| 1992319271 | Jillian Nicole Felton | Dentist | 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 | 2020-09-03 |
| 1295347748 | Elizabeth W Muraya | Dentist | 5218 Jimmy Lee Smith Pkwy Ste 100, Hiram, GA 30141-2747 | 2020-08-17 |
| 1942818182 | Prasanthi Pattabhi | Dentist | 2993 Normandy Rdg, Lawrenceville, GA 30044-7869 | 2020-07-14 |
| 1700404522 | Rocio Jacobo Rubio | Dentist | 23 Old Atlanta Hwy Ste 200, Newnan, GA 30263-6341 | 2020-07-08 |
| 1265059364 | Abboss Sharifzadeh | Dentist | 4090 Jiles Rd Nw, Kennesaw, GA 30144-1105 | 2020-07-06 |
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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.