J MICHAEL DIERKES FAMILY ORTHODONTICS LLC (NPI# 1316107709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316107709 |
| Entity Type | Organization |
| Organization Name | J MICHAEL DIERKES FAMILY ORTHODONTICS LLC |
| Other Organization Name | DR JOHN M DIERKES |
| Practice Address |
910 Marietta Hwy Suite Roswell GA 30075-6771 |
| Practice Telephone | 6783520919 |
| Practice Fax Number | 6783528330 |
| Mailing Telephone | 6783520919 |
| Mailing Fax Number | 6783528330 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2016-12-05 |
| Authorized Official Name | DR. JOHN MICHAEL DIERKES (PRES) |
| Authorized Official Telephone | 6783520919 |
| Authorized Official Credential | DDS MS FICCMO NM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9675 | GA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dr John M Dierkes | Other Name - Individual/Organization |
| Street Address |
910 MARIETTA HWY SUITE |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-6771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437306479 | Lori Landreneau Smith | Dentist | 4706 Woodstock Rd, Roswell, GA 30075-2091 | 2008-08-21 |
| 1881801447 | J. Jeff Kincaid, Dmd, Ms | Dentist | 540 W Crossville Rd, Suite 205, Roswell, GA 30075-2506 | 2007-05-16 |
| 1376606350 | Michael Martin Taylor | Dentist | 200 W Wilshire Blvd Ste E, Roswell, NM 88201-0627 | 2006-12-19 |
| 1114090560 | James C. Chapman | Dentist | 960 Holcomb Bridge Rd, Suite 3, Roswell, GA 30076-1963 | 2006-11-15 |
| 1114532181 | Taylor Orthodontics LLC | Dentist | 200 W Wilshire Blvd Ste E, Roswell, NM 88201-0627 | 2020-09-15 |
| 1295357226 | Seung H Yoon | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2020-05-13 |
| 1407363963 | Pd Ortho LLC | Dentist | 10930 Crabapple Rd Ste 106, Roswell, GA 30075-5825 | 2018-01-05 |
| 1639562051 | Karma Orthodontics | Dentist | 625 W Crossville Rd, Suite 120, Roswell, GA 30075-7503 | 2015-03-10 |
| 1497020689 | Kristen Hall | Dentist | 12010 Etris Rd, Roswell, GA 30075-1421 | 2012-03-20 |
| 1194026708 | Family Orthodontics of Rw, LLC | Dentist | 12010 Etris Rd, Roswell, GA 30075-1421 | 2010-11-12 |
| Find all providers in ROSWELL | ||||
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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.