GARY L NELSON (NPI# 1265720593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265720593 |
| Entity Type | Individual |
| Full Name | GARY L NELSON |
| Credential | DMD |
| Practice Address |
9925 Haynes Bridge Rd Suite 700 Johns Creek GA 30022-8532 |
| Practice Telephone | 4702976700 |
| Practice Fax Number | 4702976693 |
| Mailing Telephone | 4702976700 |
| Mailing Fax Number | 4702976693 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN014907 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083088868 | Gary Nelson | Counselor | 8008 Route 130 Bldg A, Ste 206, Delran, NJ 08075-1869 | 2015-11-17 |
| 1255536454 | Gary Nelson | Counselor | Rr 3 Box 1230, Wilburton, OK 74578-9523 | 2007-06-18 |
| 1619090834 | Gary L Nelson | Counselor | 14301 County Highway B, Sparta, WI 54656-4509 | 2007-04-10 |
| 1558423384 | Gary Lee Nelson | Dentist | 274 Delaware Avenue, Delmar, NY 12054 | 2006-12-15 |
| 1033277629 | Gary H Nelson | Technician/Technologist | 707 Fairmount Ave, Suite 11, Jamestown, NY 14701-2623 | 2006-12-05 |
| 1700954518 | Gary J Nelson | Dentist | 3350 S 15th E, Idaho Falls, ID 83404-8321 | 2006-12-01 |
| 1144327396 | Gary G Nelson | Specialist/Technologist | 2580 Mccrays Mill Rd, Sumter, SC 29154-6028 | 2006-09-20 |
| 1629035795 | Gary E Nelson | Physician Assistant | 150 E Center St, Suite 1100, Provo, UT 84606-3106 | 2006-05-01 |
| 1245209634 | Gary Robert Nelson | Family Medicine | 3320 N Benzing Rd, Orchard Park, NY 14127-1538 | 2006-03-16 |
| 1396290201 | Gary Edwin Nelson | Pharmacist | 1700 Ne 102nd Ave, Portland, OR 97220-3804 | 2016-08-20 |
| Street Address |
9925 HAYNES BRIDGE RD SUITE 700 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30022-8532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029757 | Georgia Dental Professionals, PC | Dentist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2020-10-06 |
| 1639723562 | Ji Hea Min | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2019-07-29 |
| 1578117933 | Soonji Kwon | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2019-07-24 |
| 1265954242 | Shrina Chandrakant Patel | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2017-07-12 |
| 1073987129 | Nhi Tran | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2015-11-30 |
| 1487992087 | Barbara Davis | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2013-01-17 |
| 1558608612 | Dee Faucett Vallee | Pharmacist | 9925 Haynes Bridge Rd, Johns Creek, GA 30022-8532 | 2013-01-09 |
| 1942519681 | Bender Eyecare Inc. | Optometrist | 9925 Haynes Bridge Rd, Suite 710a, Johns Creek, GA 30022-8532 | 2010-09-29 |
| 1326275173 | Johns Creek Dental Excellence, P.C. | Clinic/Center | 9925 Haynes Bridge Rd, #700, Johns Creek, GA 30022-8532 | 2009-06-19 |
| 1205861846 | Kristin L Bender | Optometrist | 9925 Haynes Bridge Rd, Suite 710a, Johns Creek, GA 30022-8532 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| 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 |
|---|---|---|---|---|
| 1215459649 | Stephanie Lemus | Dentist | 11255 Parsons Rd Ste 100, Johns Creek, GA 30097-1703 | 2017-07-07 |
| 1922466580 | Samantha Johnson | Dentist | 3719 Old Alabama Rd Ste 400-b, Johns Creek, GA 30022-8692 | 2016-02-10 |
| 1770632366 | Arnold Sconion II | Dentist | 10305 Medlock Bridge Rd, Suite B3, Johns Creek, GA 30097-5996 | 2007-01-10 |
| 1922533868 | Newtown Family Dental PC | Dentist | 3280 Old Alabama Rd, Suite 200, Johns Creek, GA 30022-8544 | 2017-04-28 |
| 1780893016 | Manasi Jagdish Pai | Dentist | 11585 Jones Bridge Rd, Suite 710, Johns Creek, GA 30022-8129 | 2007-05-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30022 |
Please comment or provide details below to improve the information on GARY L NELSON.
| 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.