ANTHONY JOHN DIDATO JR. (NPI# 1376834424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376834424 |
| Entity Type | Individual |
| Full Name | ANTHONY JOHN DIDATO JR. |
| Practice Address |
3625 Braselton Hwy 101 Dacula GA 30019-1014 |
| Mailing Address |
3072 Dale Dr Ne Atlanta GA 30305-2776 |
| Practice Telephone | 7069936488 |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2016-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
014280 | GA | Dental Providers |
| Street Address |
3625 BRASELTON HWY 101 |
| City | DACULA |
| State | GA |
| Zip Code | 30019-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740251073 | Van Derhei Implant Prosthetics Dental LLC | Dentist | 3625 Braselton Hwy, #102, Dacula, GA 30019 | 2006-01-26 |
| 1033655576 | Dacula Pediatrics, LLC | Pediatrics | 3625 Braselton Hwy, Suite 202, Dacula, GA 30019-1014 | 2017-01-08 |
| 1235518895 | Tyler Joseph Musselwhite | Physical Therapist | 3625 Braselton Hwy, Ste 204, Dacula, GA 30019-1014 | 2015-05-28 |
| 1760861637 | Thomas Edward Jackson | Physical Therapist | 3625 Braselton Hwy, Ste 204, Dacula, GA 30019-1014 | 2015-05-26 |
| 1568841740 | Nicholas Roy Frady | Physical Therapist | 3625 Braselton Hwy, Ste 204, Dacula, GA 30019-1014 | 2015-05-21 |
| 1992182125 | Gloicie Darlene Pruitt | Physical Therapist | 3625 Braselton Hwy, Ste 204, Dacula, GA 30019-1014 | 2015-04-27 |
| 1912390303 | Nisbet Pulmonary & Concierge Medicine, LLC | Internal Medicine | 3625 Braselton Hwy, Suite 203, Dacula, GA 30019-1014 | 2015-03-10 |
| 1801181797 | Brittany Jones Potter | Dentist | 3625 Braselton Hwy, #103, Dacula, GA 30019-1014 | 2011-06-20 |
| 1528106945 | Daniel Ray Jones | Dentist | 3625 Braselton Hwy, Suite 103, Dacula, GA 30019-1014 | 2007-02-01 |
| 1245249457 | Brian Alexander Pugh | Dentist | 3625 Braselton Hwy, Suite 101, Dacula, GA 30019-1014 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326552522 | Lucas Blaine Connor | Dentist | 3625 Braselton Hwy Ste 101, Dacula, GA 30019-4696 | 2017-11-27 |
| 1245249457 | Brian Alexander Pugh | Dentist | 3625 Braselton Hwy, Suite 101, Dacula, GA 30019-1014 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764180 | John O. Green, II, Dds, PC | Dentist | 6126 Prestley Mill Rd Ste J, Douglasville, GA 30134-5624 | 2020-09-10 |
| 1104434232 | Conyers Endodontic Center PC | Dentist | 1920 Highway 20 Se Ste A, Conyers, GA 30013-2048 | 2020-07-15 |
| 1790288678 | Crabapple Endodontics | Dentist | 12385 Crabapple Rd Ste 150, Alpharetta, GA 30004-6357 | 2018-03-16 |
| 1710382007 | Golden Isles Endodontics, LLC | Dentist | 1804 Frederica Rd Ste B, Saint Simons Island, GA 31522-2044 | 2014-10-29 |
| 1346644176 | Liberty Trails Endodontics, LLC | Dentist | 111 E Mills Ave, Hinesville, GA 31313-2616 | 2014-10-22 |
| 1194136929 | Jimmy W. Arnold | Dentist | 152 N Crest Blvd Ste A, Macon, GA 31210-1847 | 2014-05-14 |
| 1629418371 | Young Okeke | Dentist | 6595 Roswell Rd Ste G-3040, Atlanta, GA 30328-3152 | 2013-06-26 |
| 1720342694 | Lake Oconee Endodontics, LLC | Dentist | 112 Harmony Crossing, Suite 1, Eatonton, GA 31024-9536 | 2012-06-26 |
| 1275891541 | Alison Stpaul | Dentist | 1705 Ga-20, Suite 200, Mcdonough, GA 30253 | 2012-04-24 |
| 1780942144 | Marcus Robert Miller | Dentist | 2151 Fountain Dr Ste 206, Snellville, GA 30078-6753 | 2012-04-23 |
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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.