DR KIM BRADLEY HOOD DMD PC (NPI# 1316012636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316012636 |
| Entity Type | Organization |
| Organization Name | DR KIM BRADLEY HOOD DMD PC |
| Practice Address |
643 East Main Street Blackshear GA 31516 |
| Practice Telephone | 9124496310 |
| Practice Fax Number | 9124490009 |
| Mailing Telephone | 9124496310 |
| Mailing Fax Number | 9124490009 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KIM BRADLEY HOOD (PRES OWNER) |
| Authorized Official Telephone | 9124496310 |
| Authorized Official Credential | DMD PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN010794 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA INS | 839938 | 01 |
| Street Address |
643 EAST MAIN STREET |
| City | BLACKSHEAR |
| State | GA |
| Zip Code | 31516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972678282 | Kim Bradley Hood | Dentist | 643 East Main Street, Blackshear, GA 31516 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773858 | Neighborhood Pediatrics | Pediatrics | 125 Hobbs Street, Blackshear, GA 31516 | 2019-04-26 |
| 1437513116 | Marshall Retirement Center | Home Health | 619 Allen Avenue, Blackshear, GA 31516 | 2016-04-08 |
| 1144639022 | Marlee Bedford | Speech-Language Pathologist | 949 Lakeview Drive, Blackshear, GA 31516 | 2014-08-05 |
| 1912257528 | Theresa Sasser Clements | Case Manager/Care Coordinator | 5064 County Farm Road, Blackshear, GA 31516 | 2012-09-12 |
| 1376700401 | Grant D. Bennett | Durable Medical Equipment & Medical Supplies | 6223 Clark Rd., Blackshear, GA 31516 | 2008-05-16 |
| 1639381171 | Georgia Physician South,pc | Clinical Medical Laboratory | 120 Carter Ave, Blackshear, GA 31516 | 2007-05-04 |
| 1114064409 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 740 Porter Street, Blackshear, GA 31516 | 2007-01-30 |
| 1366478042 | Mayo Clinic Health System In Waycross, Inc. | Skilled Nursing Facility | 221 Carter Ave., Blackshear, GA 31516 | 2006-06-24 |
| 1518936442 | Gardi Drug Company, LLC | Durable Medical Equipment & Medical Supplies | 731 Cameron Dr., Blackshear, GA 31516 | 2006-03-14 |
| 1205820651 | Pierce County | Ambulance | 309 Industrial Blvd, Blackshear, GA 31516 | 2005-08-31 |
| Find all providers in zip 31516 | ||||
| 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 |
|---|---|---|---|---|
| 1972678282 | Kim Bradley Hood | Dentist | 643 East Main Street, Blackshear, GA 31516 | 2006-11-21 |
| 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 | BLACKSHEAR |
| Zip Code | 31516 |
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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.