DR. BRUCE R JAGOR (NPI# 1487779773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487779773 |
| Entity Type | Individual |
| Full Name | DR. BRUCE R JAGOR |
| Credential | D.D.S. |
| Practice Address |
5555 Peachtree Dunwoody Rd Ne Suite G-90 Atlanta GA 30342-1703 |
| Practice Telephone | 4042562551 |
| Practice Fax Number | 4042562557 |
| Mailing Telephone | 4042562551 |
| Mailing Fax Number | 4042562557 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN005683 | GA | Dental Providers |
| Street Address |
5555 PEACHTREE DUNWOODY RD NE SUITE G-90 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205455 | William S. Smith | Otolaryngology | 5555 Peachtree Dunwoody Rd Ne, Ste 125, Atlanta, GA 30342-1711 | 2005-06-21 |
| 1619215514 | Family Allergy & Asthma Center | Specialist | 5555 Peachtree Dunwoody Rd Ne, Suite 340, Atlanta, GA 30342-1703 | 2013-01-28 |
| 1922369339 | Anesheia Ceasar Prince | Audiologist | 5555 Peachtree Dunwoody Rd Ne, Ste 125, Atlanta, GA 30342-1710 | 2012-06-01 |
| 1730461492 | Charles Edward Gregory | Dentist | 5555 Peachtree Dunwoody Rd Ne, Suite 275, Atlanta, GA 30342-1703 | 2011-09-19 |
| 1710269303 | Richard Stephen Shapiro | Dentist | 5555 Peachtree Dunwoody Rd Ne, Suite 275, Atlanta, GA 30342-1703 | 2011-09-09 |
| 1023302668 | Natalie Fink Carrithers | Nurse Practitioner | 5555 Peachtree Dunwoody Rd Ne, Suite 201, Atlanta, GA 30342-1703 | 2011-05-31 |
| 1265735187 | Robert M. Fryer, Dds, PC | Oral & Maxillofacial Surgery | 5555 Peachtree Dunwoody Rd Ne, Suite G56, Atlanta, GA 30342-1703 | 2010-12-15 |
| 1669709564 | David B. Adams, Ph.d., P.C. | Clinic/Center | 5555 Peachtree Dunwoody Rd Ne, Suite 251, Atlanta, GA 30342-1703 | 2009-11-13 |
| 1386977833 | Dominion Orthopaedic Clinic, LLC | Durable Medical Equipment & Medical Supplies | 5555 Peachtree Dunwoody Rd Ne, Suite 215, Atlanta, GA 30342-1703 | 2009-09-16 |
| 1992959118 | Capital City Orthopaedics & Sports Medicine, P.C. | Clinic/Center | 5555 Peachtree Dunwoody Rd Ne, Suite 101, Atlanta, GA 30342-1703 | 2008-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| 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 |
|---|---|---|---|---|
| 1568079143 | Bimala Gharti | Dentist | 7310 Village Creek Trce, Atlanta, GA 30328-6763 | 2020-09-28 |
| 1699385062 | Hetal Trivedi | Dentist | 930 Spring St Nw Unit 915-a, Atlanta, GA 30309-3816 | 2020-07-31 |
| 1013548577 | Dental Care 24 7 Staffing Atlanta, LLC | Dentist | 285 Centennial Olympic Park Dr Nw # Cu-2b, Atlanta, GA 30313-1834 | 2020-02-03 |
| 1013547173 | Sha-vashtiy Young-ufeli | Dentist | 587 Virginia Ave Ne Unit 5, Atlanta, GA 30306-3695 | 2020-01-16 |
| 1588210207 | Edgewood Smiles Dentistry, PC | Dentist | 144 Moreland Ave Ne Ste A, Atlanta, GA 30307-2660 | 2019-08-19 |
| 1912552464 | Casey Jean Shuster | Dentist | 999 Peachtree St Ne Ste 715, Atlanta, GA 30309-3964 | 2019-08-01 |
| 1306404389 | Gabrielle Coe | Dentist | 205 S Race St, Atlanta, IL 61723-7586 | 2019-06-04 |
| 1417513730 | Jordan Alexander Reznik | Dentist | 236 Perimeter Center Pkwy Ne Ste C-30, Atlanta, GA 30346-1402 | 2019-05-13 |
| 1316419666 | Vbdc of Woodstock, LLC | Dentist | 5909 Peachtree Dunwoody Rd Ste 800, Atlanta, GA 30328-8103 | 2018-12-27 |
| 1487136867 | Abby Lynn Halpern | Dentist | 1080 Peachtree St Ne Unit 2604, Atlanta, GA 30309-6836 | 2018-09-03 |
| Find all providers in ATLANTA | ||||
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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.