PEACHTREE CITY DENTAL GROUP, PC (NPI# 1487030847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487030847 |
| Entity Type | Organization |
| Organization Name | PEACHTREE CITY DENTAL GROUP, PC |
| Other Organization Name | PEACHTREE DENTAL GROUP |
| Practice Address |
1001 N Peachtree Pkwy Suite A Peachtree City GA 30269-4210 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 7702689112 |
| Practice Fax Number | 7706310023 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | DR. KATIE MCCANN (OWNER) |
| Authorized Official Telephone | 7702689112 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Peachtree Dental Group | Doing Business As Name - Organization |
| Street Address |
1001 N PEACHTREE PKWY SUITE A |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| 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 |
|---|---|---|---|---|
| 1831746999 | Georgia Dental Professionals, PC | Dentist | 1207 Highway 74 S, Peachtree City, GA 30269-3078 | 2019-08-23 |
| 1063713899 | Dentistry for Children of Peachtree City, LLC | Dentist | 1280 Highway 74 S Ste 210, Peachtree City, GA 30269-3077 | 2010-11-10 |
| 1750549549 | Kermit J Mallette | Dentist | 201 Crosstown Dr Apt 1020, Peachtree City, GA 30269-3457 | 2008-05-28 |
| 1225256639 | Affordable Dental | Dentist | 1143 Astoria Ln, Peachtree City, GA 30269-6632 | 2007-04-23 |
| 1386762243 | George Christensen | Dentist | 50 Eastbrook Bnd, Suite A, Peachtree City, GA 30269-1530 | 2007-03-27 |
| 1184781486 | Carolyn Moore | Dentist | 257 Commerce Dr, Peachtree City, GA 30269-1484 | 2007-01-03 |
| 1760551634 | Yvonne R Dorrian | Dentist | 1207 N Peachtree Pkwy, Peachtree City, GA 30269-1743 | 2006-11-07 |
| 1750462347 | Vassey Dental Partners | Dentist | 1601 Georgian Park, Peachtree City, GA 30269-6968 | 2006-10-18 |
| 1891897682 | Edward T Davis | Dentist | 303 Prime Pt, Peachtree City, GA 30269-3308 | 2006-09-02 |
| 1922113208 | Robert S Brooks | Dentist | 500 Stevens Entry, Peachtree City, GA 30269-6711 | 2006-08-20 |
| Find all providers in PEACHTREE CITY | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
Please comment or provide details below to improve the information on PEACHTREE CITY DENTAL GROUP, PC.
| 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.