STANSELL & PETREE FAMILY DENTISTRY, P. C. (NPI# 1417027939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417027939 |
| Entity Type | Organization |
| Organization Name | STANSELL & PETREE FAMILY DENTISTRY, P. C. |
| Practice Address |
369 E Broad St Winder GA 30680-2278 |
| Practice Telephone | 7708672277 |
| Practice Fax Number | 7708685988 |
| Mailing Telephone | 7708672277 |
| Mailing Fax Number | 7708685988 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT E STANSELL (PRESIDENT) |
| Authorized Official Telephone | 7708672277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
9836 | GA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10705 | GA | Dental Providers |
| Street Address |
369 E BROAD ST |
| City | WINDER |
| State | GA |
| Zip Code | 30680-2278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548636202 | Mark Ferdos | Dentist | 369 E Broad St, Winder, GA 30680-2278 | 2015-08-18 |
| 1194981811 | Robert E Stansell | Dentist | 369 E Broad St, Winder, GA 30680-2278 | 2008-08-01 |
| 1265698989 | Lewis H. Petree | Dentist | 369 E Broad St, Winder, GA 30680-2278 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326520776 | Alexandrea Hosch | Specialist/Technologist | 474 Lisa Circle, Winder, GA 30680 | 2018-09-02 |
| 1427574185 | Kristen Layfield Harbin | Dietitian, Registered | 827 Jefferson Hwy, Winder, GA 30680 | 2017-08-15 |
| 1417485715 | Staci Harwell Tebbetts | Optometrist | 279 N Broad St Ste C, Winder, GA 30680 | 2017-05-31 |
| 1609234947 | Carmichaels Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 289 N Broad St, Winder, GA 30680 | 2016-02-02 |
| 1699140434 | Chee Vang | Physical Therapy Assistant | 1012 Bowman Way, Winder, GA 30680 | 2015-12-04 |
| 1518361989 | Usrc Winder, LLC | Clinic/Center | 429 Loganville Hwy Ste 105-109, Winder, GA 30680 | 2014-10-14 |
| 1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
| 1548501851 | Jennifer Won | Dentist | 444 Atlanta Hwy Nw Ste 500, Winder, GA 30680 | 2013-03-12 |
| 1801041595 | Joan Theresa James | Obstetrics & Gynecology | 137 W Athens St Ste 103, Winder, GA 30680 | 2008-11-21 |
| 1669636767 | Lee Lindsey Bleshoy | Nurse Practitioner | 133 W Athens St Ste A, Winder, GA 30680 | 2008-07-17 |
| Find all providers in zip 30680 | ||||
| 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 |
|---|---|---|---|---|
| 1285831313 | Elena E. Kurz | Dentist | 48 Piedmont Dr Ste 302, Winder, GA 30680-8132 | 2007-07-02 |
| 1699988907 | Campbell Dental PC | Dentist | 48 Piedmont Dr, Suite 302, Winder, GA 30680-8131 | 2007-05-07 |
| 1376668103 | Julie Baxter Marshall | Dentist | 152 N Broad St, Winder, GA 30680-8200 | 2007-03-20 |
| 1750459608 | Larry James Shaw | Dentist | 315 N Broad St, Winder, GA 30680-2156 | 2006-11-30 |
| 1811074354 | Mark P Benner | Dentist | 212 E Broad St, Winder, GA 30680-2202 | 2006-11-01 |
| 1184705766 | Fay Stapleton Burnett | Dentist | 567 Jefferson Hwy, Winder, GA 30680-3645 | 2006-10-18 |
| 1548636202 | Mark Ferdos | Dentist | 369 E Broad St, Winder, GA 30680-2278 | 2015-08-18 |
| 1023329851 | Spencer Cole Campbell | Dentist | 48 Piedmont Dr, Suite 302, Winder, GA 30680-8131 | 2010-06-26 |
| 1194981811 | Robert E Stansell | Dentist | 369 E Broad St, Winder, GA 30680-2278 | 2008-08-01 |
| 1265698989 | Lewis H. Petree | Dentist | 369 E Broad St, Winder, GA 30680-2278 | 2008-08-01 |
| Find all providers in WINDER | ||||
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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.