HICKORY FLAT DENTAL GROUP (NPI# 1457431496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457431496 |
| Entity Type | Organization |
| Organization Name | HICKORY FLAT DENTAL GROUP |
| Practice Address |
7840 Highway 140 Mill Creek Professional Park Woodstock GA 30188 |
| Practice Telephone | 6788910272 |
| Mailing Telephone | 6788910272 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EUGENE WITKIN (DENTIST/OWNER) |
| Authorized Official Telephone | 6788910272 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 009491 | GA | Dental Providers |
| Street Address |
7840 HIGHWAY 140 MILL CREEK PROFESSIONAL PARK |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| 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 |
|---|---|---|---|---|
| 1780221457 | Foundation Dental Partners Georgia, P.C. | Dentist | 1816 Eagle Dr Ste 200-a, Woodstock, GA 30189-8274 | 2019-12-02 |
| 1619538485 | John Perisin | Dentist | 11585 Us Highway 14, Woodstock, IL 60098-7227 | 2019-06-24 |
| 1326365115 | Carl Paul Levitt | Dentist | 1025 Rose Creek Drive, Suite 260, Woodstock, GA 30189 | 2010-05-03 |
| 1407008790 | John F. Evans | Dentist | 669 S. Eastwood Drive, Woodstock, IL 60098-4632 | 2008-10-17 |
| 1851541429 | Lucciola Lambruschini | Dentist | 781 Spring Pkwy, Woodstock, VA 22664-1605 | 2008-09-19 |
| 1679739437 | Ross Frank Bohl | Dentist | 740 S Eastwood Dr, Woodstock, IL 60098-4635 | 2008-07-31 |
| 1982864658 | John Joseph Schultz | Dentist | 715 W Judd St, Woodstock, IL 60098-3186 | 2008-06-16 |
| 1609052877 | Liska M Andu | Dentist | 5026 Winding Hills Ln, Woodstock, GA 30189-2582 | 2008-01-17 |
| 1275728636 | Timothy N. Byrd, D.m.d., P.C. | Dentist | 2035 Towne Lake Pkwy, Suite 130, Woodstock, GA 30189-5569 | 2007-09-10 |
| 1598968042 | Ian Sturn | Dentist | 10010 Highway 92, Suite 140, Woodstock, GA 30188-6427 | 2007-06-11 |
| Find all providers in WOODSTOCK | ||||
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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.