DENTAL PROFESSIONALS OF GEORGIA, P.C. (NPI# 1417394958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417394958 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF GEORGIA, P.C. |
| Other Organization Name | DENTAL CARE OF CLAYTON |
| Practice Address |
436 Warwoman Rd Clayton GA 30525-5105 |
| Practice Telephone | 7067825414 |
| Mailing Telephone | 7067825414 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | LORI EDMONDS (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408468 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF GEORGIA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care of Clayton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150498 | Dental Professionals of Georgia, P.C. | Dentist | 645 Beaver Ruin Rd Nw Ste A, Lilburn, GA 30047-3471 | 2019-02-19 |
| 1578180436 | Dental Professionals of Georgia, P.C. | Dentist | 316 W Main St, Thomaston, GA 30286-3558 | 2020-06-26 |
| 1528694080 | Dental Professionals of Georgia, P.C. | Dentist | 316 W Main St, Thomaston, GA 30286-3558 | 2020-03-17 |
| 1235674227 | Dental Professionals of Georgia, P.C. | Dentist | 116 Calumet Center Rd, Lagrange, GA 30241-6703 | 2016-12-29 |
| 1235475526 | Dental Professionals of Georgia, P.C. | Dentist | 600 Galleria Pkwy Se, Suite 800, Atlanta, GA 30339-5994 | 2012-12-14 |
| Street Address |
436 WARWOMAN RD |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780955237 | Robert Deforrest Howell Jr. | Dentist | 436 Warwoman Rd, Clayton, GA 30525-5105 | 2012-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| 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 |
|---|---|---|---|---|
| 1215598768 | Meredith Brooke Wimberly | Dentist | 660 Nc Highway 42 W, Clayton, NC 27520-5803 | 2019-06-25 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1750871562 | O'brien and West, Dmd V, Pllc | Dentist | 452 Shotwell Rd, Clayton, NC 27520-7397 | 2018-05-16 |
| 1902328701 | Challenger and Associates, P.l.l.c. | Dentist | 9096 Cleveland Rd, Suite 1, Clayton, NC 27520-3506 | 2017-07-13 |
| 1699228486 | Jason R. Harris Dds, Pa | Dentist | 8838 Us 70 Hwy W, Suite 100, Clayton, NC 27520-4822 | 2016-07-27 |
| 1508248717 | Hereward Russell Huggins-challenger | Dentist | 9096 Cleveland Rd Ste 1, Clayton, NC 27520-9786 | 2015-06-24 |
| 1528464492 | Holloway Family Dentistry | Dentist | 608 Highway 76 W, Clayton, GA 30525-5266 | 2014-11-05 |
| 1750702247 | Collins, Nelson & Patel Dds, Pllc | Dentist | 8838 Us 70 West Business, Suite 100, Clayton, NC 27520 | 2013-12-30 |
| 1780955237 | Robert Deforrest Howell Jr. | Dentist | 436 Warwoman Rd, Clayton, GA 30525-5105 | 2012-01-14 |
| 1578715686 | Mullen and Associates, Dds Pa | Dentist | 100 Pinecroft Drive, Clayton, NC 27520 | 2008-10-21 |
| Find all providers in CLAYTON | ||||
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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.