ATLANTA EMERGENCY DENTAL CENTER (NPI# 1447480652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447480652 |
| Entity Type | Organization |
| Organization Name | ATLANTA EMERGENCY DENTAL CENTER |
| Practice Address |
4060 Lavista Rd Tucker GA 30084-5216 |
| Practice Telephone | 7709340770 |
| Practice Fax Number | 7709343063 |
| Mailing Telephone | 7709340770 |
| Mailing Fax Number | 7709343063 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |
| Authorized Official Name | DR. LEON GRAYLAND PYE (PRESIDENT) |
| Authorized Official Telephone | 7709340770 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8962 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00172235F | 05 |
| Street Address |
4060 LAVISTA RD |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710051420 | Atlanta Emergency Dental PC | Dentist | 4060 Lavista Rd, Tucker, GA 30084 | 2006-11-17 |
| 1528618220 | Northlake Urgent Care Inc | Clinic/Center | 4060 Lavista Rd, Tucker, GA 30084-5216 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| 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 |
|---|---|---|---|---|
| 1811454358 | Carol Berman | Dentist | 4459 Lawrenceville Hwy, Tucker, GA 30084-3704 | 2019-02-20 |
| 1215315312 | Georgia Dental Professionals, PC | Dentist | 3983 Lavista Rd Ste 104, Tucker, GA 30084-5140 | 2015-05-11 |
| 1437327889 | James Yon Kim | Dentist | 3754 Lavista Rd, Suite 300, Tucker, GA 30084-5626 | 2008-02-19 |
| 1598945107 | Denture Place LLC | Dentist | 2258 Northlake Pkwy Ste 200, Tucker, GA 30084-4018 | 2007-11-12 |
| 1861692543 | Patricia L Delk Sr. | Dentist | 3939 Lavista Rd, Suite E #121, Tucker, GA 30084-5162 | 2007-07-20 |
| 1851446074 | Robert B Thomas Sr. | Dentist | 3939e Lavista Rd # 120, Tucker, GA 30084-5137 | 2007-01-25 |
| 1629125869 | Donald Hoyt Bohne | Dentist | 4958 Lavista Rd, Tucker, GA 30084-4403 | 2007-01-03 |
| 1235298753 | Gerald Louis Knoedler | Dentist | 4879 Lavista Rd, Suite 300, Tucker, GA 30084-8517 | 2006-12-08 |
| 1356410468 | Christopher Pollard North | Dentist | 3756 Lavista Rd, Suite 102, Tucker, GA 30084-5614 | 2006-11-06 |
| 1225110356 | Ayesha Rahman | Dentist | 2018 Montreal Rd, Tucker, GA 30084-5203 | 2006-10-19 |
| Find all providers in TUCKER | ||||
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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.