BELLA DENTAL SERVICES, P.C


Address: 4122 E Ponce De Leon Ave, Suite #5, Clarkston, GA 30021-1838
Phone: 4042948385

BELLA DENTAL SERVICES, P.C (NPI# 1407152259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407152259
Entity Type Organization
Organization Name BELLA DENTAL SERVICES, P.C
Practice Address 4122 E Ponce De Leon Ave
Suite #5
Clarkston
GA 30021-1838
Mailing Address 4122 E Ponce De Leon Ave
Suite #5
Clarkston
GA 30021
Practice Telephone 4042948385
Mailing Telephone 4042948385
Enumeration Date 2011-01-26
Last Update Date 2011-01-26
Authorized Official Name DR. RODERICK SAMPSON COOPER (OWNER/DENTIST)
Authorized Official Telephone 4042948385
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DNO13198 GA Dental Providers

Office Location

Street Address 4122 E PONCE DE LEON AVE
SUITE #5
City CLARKSTON
State GA
Zip Code 30021-1838

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700958006 Robert Marc Kleiner Dentist 4122 E Ponce De Leon Ave, Suite #5, Clarkston, GA 30021-1838 2006-11-14
1003358656 Daniela Martinez Florez Dentist 4122 E Ponce De Leon Ave, Suite 5, Clarkston, GA 30021-1838 2016-11-14
1851465132 Dental Services PC Dentist 4122 E Ponce De Leon Ave, Suite #2, Clarkston, GA 30021-1838 2006-11-20
1710050703 Thomas Doyle Harvey Dentist 4122 E Ponce De Leon Ave, Suite 5, Clarkston, GA 30021-1838 2006-11-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578081808 Marqueta A Coffer Case Manager/Care Coordinator 1380 Brockett Pl, Clarkston, GA 30021 2017-09-07
1063965143 Bertukan Worku Demas Pharmacist 3671 Cobble Mill Ln, Clarkston, GA 30021 2016-07-26
1912341967 Esther Kim Family Medicine 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 2013-04-22
1265739437 Carepoint Home Care, LLC In Home Supportive Care 4122 E Ponce Deleon Avenue, Unit 9, Clarkston, GA 30021 2011-02-23
1790956530 Thu D. Vu Dentist 3596 Hill Street, Clarkston, GA 30021 2008-03-20
1740310630 Gentle Dental Dentist 3595 Hill St., Clarkston, GA 30021 2007-03-07
1679528491 Ojoru Osunkoya Pediatrics 4112 E. Ponce De Leon, Clarkston, GA 30021 2006-05-23
1700849825 Regina Allen Hardin Pediatrics 4112 E. Ponce De Leon Avenue, Clarkston, GA 30021 2006-04-10
1831514538 Caudelle & Wilson Eye Care LLC Optometrist 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30021 2014-03-04
1881865624 Vanessa Phan Dentist 3596 Hill Street, Clarkston, GA 30021 2008-03-20
Find all providers in zip 30021

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467600528 Brian Davidson Dds PC Dentist 5720 Clarkston Road, Clarkston, MI 48348 2008-09-03
1396964466 David William Regiani Dentist 10435 Ortonville Road, Suite B, Clarkston, MI 48348 2007-04-25
1740310630 Gentle Dental Dentist 3595 Hill St., Clarkston, GA 30021 2007-03-07
1942331772 Peach Dental Care Dentist 3596 W Hill St # B, Clarkston, GA 30021-1205 2007-03-07
1215083613 Rasha Safaa Kajy Dentist 10435 Ortonville Rd Ste B, Clarkston, MI 48348-1979 2007-01-26
1639234222 Mary Theresa Bauer Dentist 5760 Clarkston Road, Suite A, Clarkston, MI 48348 2006-12-26
1174624746 Randall William Baetz Dentist 7150 Dixie Hwy, Clarkston, MI 48346-2068 2006-09-26
1679672224 Reid Alan Folsom Dentist 1336 5th St, Clarkston, WA 99403-3314 2006-09-21
1881644243 Thomas G. Santarossa Dds PC Dentist 7210 N Main St, Suite 104, Clarkston, MI 48346-1575 2006-05-10
1962471631 David W. Regiani, Dds, PC Dentist 10435 Ortonville Road - Suite B, Clarkston, MI 48348 2006-03-16
Find all providers in CLARKSTON

Competitor

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City CLARKSTON
Zip Code 30021

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Dataset Information

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.

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