DANIEL TESFA REDIE (NPI# 1467558650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467558650 |
| Entity Type | Individual |
| Full Name | DANIEL TESFA REDIE |
| Credential | DDS |
| Practice Address |
1849 Hwy 138 Riverdale GA 30296 |
| Practice Telephone | 7709965850 |
| Practice Fax Number | 7709965851 |
| Mailing Telephone | 7709965850 |
| Mailing Fax Number | 7709965851 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN012618 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA DENTAL LICENSE | DN012618 | 01 |
| DEA | BR7623677 | 01 |
| Street Address |
1849 HWY 138 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| 1780649368 | James E Gleason Jr. | Family Medicine | 7365 Old National Hwy, Riverdale, GA 30296 | 2006-04-18 |
| Find all providers in zip 30296 | ||||
| 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 |
|---|---|---|---|---|
| 1225467657 | Nimish Patel | Dentist | 6650 Highway 85, Riverdale, GA 30274-2382 | 2013-11-06 |
| 1306145784 | Affordable Dentures Riverdale P.C. | Dentist | 4035 Riverdale Rd, Suite C, Riverdale, UT 84405-1517 | 2011-03-24 |
| 1295922151 | K. Neal Morris | Dentist | 8455 Highway 85, Bldg 500 Suite 100, Riverdale, GA 30274-5115 | 2007-09-25 |
| 1457564270 | Sophia Waye Coley Coley Dmd,pc | Dentist | 653 Roberts Dr Ste B, Riverdale, GA 30274-2959 | 2007-05-08 |
| 1275756850 | Bruce Michael Cable | Dentist | 100 W 144th St, Riverdale, IL 60827 | 2007-04-11 |
| 1063581858 | Melissa Anne Jones | Dentist | 7557 Highway 85, Riverdale, GA 30274 | 2006-11-07 |
| 1619072063 | Eugene Witkin | Dentist | 207 Sw Upper Riverdale Rd, Riverdale, GA 30274-2537 | 2006-09-13 |
| 1164530663 | Dr Nimish Patel PC | Dentist | 6650 Hwy 85, Riverdale, GA 30274 | 2006-08-26 |
| 1720095631 | Mark Henry Habermeyer | Dentist | 4115 Riverdale Rd Ste B, Riverdale, UT 84405-3509 | 2006-08-02 |
| 1962453878 | William C Feldman | Dentist | 217 Upper Riverdale Rd Sw, Riverdale, GA 30274-2537 | 2006-05-15 |
| Find all providers in RIVERDALE | ||||
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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.