RADIANT SMILES DENTAL OF CHAMBLEE LLC (NPI# 1255843520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255843520 |
| Entity Type | Organization |
| Organization Name | RADIANT SMILES DENTAL OF CHAMBLEE LLC |
| Practice Address |
4306 N Peachtree Road Chamblee GA 30314 |
| Mailing Address |
4306 N Peachtree Rd Chamblee GA 30341-1210 |
| Practice Telephone | 7704551400 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | GRACE WU MARHIC (MANAGING PARTNER) |
| Authorized Official Telephone | 4044551400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
4306 N PEACHTREE ROAD |
| City | CHAMBLEE |
| State | GA |
| Zip Code | 30314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794959 | Melonie Yeats | Social Worker | 225 James P Brawley Dr Nw, Atlanta, GA 30314 | 2019-01-15 |
| 1275080608 | Nadya Walker | Occupational Therapy Assistant | 40 Griffin St, Atlanta, GA 30314 | 2016-09-01 |
| 1326415316 | Marion Elaine Hargett | Behavioral Analyst | 502 Pryor Street, Atlanta, GA 30314 | 2015-08-26 |
| 1295096204 | Ave Maria Marshall | Social Worker | 350 Spelman Lane, 30314, Atlanta, GA 30314 | 2012-06-06 |
| 1700164217 | Marva A Campbell | Registered Nurse | 565 Greensferry Ave Sw Apt 1703, Atlanta, GA 30314 | 2011-08-01 |
| 1699929737 | Mordena T Sullen | Dentist | 1099 Martin Luther King Jr., Drive, Atlanta, GA 30314 | 2008-11-14 |
| 1245377605 | Neighborhood Union Health Center | Public Health or Welfare | 186 Sunset Avenue Nw, Atlanta, GA 30314 | 2007-02-01 |
| 1861564460 | Margaret E Gamble | Registered Nurse | Sunset Dr, Neighborhood Union Health Center, Atlanta, GA 30314 | 2006-11-15 |
| 1457423048 | Para R Leffall | Nurse Practitioner | 186 Sunset Ave, Atlanta, GA 30314 | 2006-11-15 |
| 1043382641 | Margaret Anne Blackwell | Registered Nurse | 186 Sunset Ave Nw, Atlanta, GA 30314 | 2006-11-15 |
| Find all providers in zip 30314 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606490 | Smile Pleasant Hill LLC | Clinic/Center | 828 Pleasant Hill Rd Nw Ste 10, Lilburn, GA 30047-2757 | 2020-10-15 |
| 1982213583 | Munoz Dental Resources LLC | Clinic/Center | 4141 Steve Reynolds Blvd Ste 1, Norcross, GA 30093-3060 | 2020-07-29 |
| 1407474794 | Familia Dentistry of Georgia, LLC | Clinic/Center | 4574 Lawrenceville Hwy Nw Ste 120r, Lilburn, GA 30047-3605 | 2020-07-13 |
| 1336763648 | Bethlehem Orthodontics | Clinic/Center | 426 Exchange Blvd Ste 400, Bethlehem, GA 30620-1791 | 2020-06-02 |
| 1770106882 | Smiles By Dixon PC | Clinic/Center | 690 Lanier Park Dr, Gainesville, GA 30501-2061 | 2020-05-22 |
| 1811516479 | Mouthpeace Dental 4, LLC | Clinic/Center | 541 Forest Pkwy Ste 18, Forest Park, GA 30297-6110 | 2020-04-14 |
| 1427677541 | Mh Dental Group, LLC | Clinic/Center | 1305 Cedarcrest Rd Ste 115, Dallas, GA 30132-8201 | 2020-04-09 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1952935710 | West Cobb Periodontics and Implant Dentistry LLC | Clinic/Center | 44 Old Hamilton Rd Nw Ste 200, Marietta, GA 30064-5901 | 2020-03-02 |
| 1659904241 | Dental Now Kids LLC | Clinic/Center | 4151 Steve Reynolds Blvd Ste 2, Norcross, GA 30093-3060 | 2020-02-21 |
| 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.