DR. KEN E EDWARDS III (NPI# 1245396894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245396894 |
| Entity Type | Individual |
| Full Name | DR. KEN E EDWARDS III |
| Credential | DDS |
| Practice Address |
3502 Satellite Blvd Duluth GA 30096 |
| Mailing Address |
1650 Oakbrook Dr Suite 440 Norcross GA 30093 |
| Practice Telephone | 7704769000 |
| Mailing Telephone | 7704468000 |
| Mailing Fax Number | 7704468000 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
GA8493 | GA | Dental Providers |
| Street Address |
3502 SATELLITE BLVD |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821193673 | Dentfirst PC | Dentist | 3502 Satellite Blvd, Duluth, GA 30096 | 2006-09-14 |
| 1891979464 | Carrie Jayne Fisher | Chiropractor | 3502 Satellite Blvd, Suite 7, Duluth, GA 30096-5820 | 2007-12-19 |
| 1609933357 | Darcey Jerome Taylor | Dentist | 3502 Satellite Blvd, Duluth, GA 30096 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790795821 | Great Lakes Childrens Dental Care Pa | Dentist | 2710 Piedmont Avenue, Duluth, MN 55811 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380840 | Polish Dental Center Alpharetta LLC | Dentist | 4640 Valais Ct Ste 102, Alpharetta, GA 30022-2606 | 2020-09-14 |
| 1275150294 | James Patrick Cook | Dentist | 127 Telfair St Fl 3, Augusta, GA 30901-2590 | 2020-06-26 |
| 1215313044 | Georgia Dental Professionals, PC | Dentist | 6005 Watson Blvd Suite 200, Byron, GA 31008 | 2015-08-04 |
| 1043650377 | F. Allen Shaw | Dentist | 6743 Beaver Trl, Midland, GA 31820-3836 | 2013-07-01 |
| 1205167962 | Dana E Nelson Witherspoon | Dentist | 2000 Riverside Parkway, Suite 200, Great Expressions Dental Centers of Georgia, PC, Lawrenceville, GA 30043 | 2010-01-20 |
| 1578701157 | Allen Michael Vergen | Dentist | 501 N Pierce St, Alma, GA 31510-2445 | 2009-02-04 |
| 1114181138 | Gainesville Dental Group LLC | Dentist | 1026 Thompson Bridge Road, Gainesville, GA 30501-1704 | 2008-07-18 |
| 1326170663 | Jerry Lamar Thomas | Dentist | 128 Martin Luther King Jr Ct, Lagrange, GA 30241-3656 | 2007-03-12 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1033260898 | Janine E. Randall | Dentist | 4199 Paces Ferry Rd Se, Suite D, Atlanta, GA 30339-5750 | 2007-01-16 |
| 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.