DANIEL REDIE GENERAL DENTISTRY (NPI# 1295908614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295908614 |
| Entity Type | Organization |
| Organization Name | DANIEL REDIE GENERAL DENTISTRY |
| Practice Address |
1849 Highway 138 Sw Riverdale GA 30296-1812 |
| Practice Telephone | 7709965850 |
| Mailing Telephone | 7709965850 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |
| Authorized Official Name | DANIEL REDIE (DENTIST) |
| Authorized Official Telephone | 7709965850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DORAL | 9180091 | 01 |
| GA | AVESIS | 100997 | 01 |
| Street Address |
1849 HIGHWAY 138 SW |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427445204 | Paul M Hertz Dmd LLC | Dentist | 6011 Riverdale Avenue, Riverdale, NY 10471 | 2015-04-20 |
| 1508134842 | Sookie Hwang | Dentist | 51 State Rt 23 Ste 1, Riverdale, NJ 07457-1625 | 2011-12-01 |
| 1093012205 | Maranatha Weir Group | Dentist | 5711 Sarvis Ave Ste 502, Riverdale, MD 20737-1366 | 2011-02-24 |
| 1588871115 | Terry L Mcculloch | Dentist | 7557 Hwy 85, Riverdale, GA 30274 | 2007-05-16 |
| 1174744148 | Peter Louis Calomeris | Dentist | 6201 Baltimore Ave, Riverdale, MD 20737-1020 | 2007-05-01 |
| 1134251648 | Smiles Dental Lab, Inc. | Dentist | 6030 Highway 85 Ste 240, Riverdale, GA 30274-1535 | 2007-03-10 |
| 1104968304 | Ivanhoe Dental Group, Ltd. | Dentist | 61 W 144th St, Riverdale, IL 60827-2850 | 2007-02-13 |
| 1457491771 | Donald C. Bogert Jr. | Dentist | 27 Newark Pompton Tpke, Riverdale, NJ 07457-1143 | 2007-02-07 |
| 1396820775 | Fredrico Albert Dixon IIi | Dentist | 7218 Highway 85, Riverdale, GA 30274-2908 | 2006-10-26 |
| 1457432312 | Kashia Figueroa | Dentist | 6200 Baltimore Ave, Suite 200, Riverdale, MD 20737-1054 | 2006-10-18 |
| Find all providers in RIVERDALE | ||||
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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.