BRACES NOW 14, LLC (NPI# 1518480763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518480763 |
| Entity Type | Organization |
| Organization Name | BRACES NOW 14, LLC |
| Practice Address |
4141 Steve Reynolds Blvd Suite 2 Norcross GA 30093 |
| Mailing Address |
2371 Strand Ave Dr Brad Gilbert Lawrenceville GA 30043-8204 |
| Practice Telephone | 7709637255 |
| Mailing Telephone | 7702874051 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-24 |
| Authorized Official Name | JOSEPH BRADFORD GILBERT (MANAGER/OWNER) |
| Authorized Official Telephone | 7702874051 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
GA14767 | GA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
GA12772 | GA | Dental Providers |
| Street Address |
4141 STEVE REYNOLDS BLVD SUITE 2 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| 1487953741 | Avala Dental Providers | Dentist | 5495 Jimmy Carter Blvd., Suite A-14, Norcross, GA 30093 | 2011-03-24 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379679 | Dr. Milan Dhanani PC | Dentist | 1905 Beaver Ruin Rd Ste 175b, Norcross, GA 30071-3837 | 2020-09-04 |
| 1528338589 | Kim Sue Shaver | Dentist | 5703 Denton Cir, Norcross, GA 30092-2079 | 2012-01-09 |
| 1649343682 | Keith Scott Crawford | Dentist | 3850 Holcomb Bridge Road, Suite 230, Norcross, GA 30092 | 2006-11-16 |
| 1598860579 | Vinh P Huynh | Dentist | 1568 Indian Trail Lilburn Rd, Suite 201, Norcross, GA 30093-2613 | 2006-09-14 |
| 1407962269 | Pickron Orthodontic Care | Dentist | 3294 Medlock Bridge Road, Norcross, GA 30092 | 2006-08-22 |
| 1740649177 | Iclear Orthodontics and Braces North LLC | Dentist | 5635 Peachtree Pkwy, Suite 200, Norcross, GA 30092-2879 | 2016-02-12 |
| 1053720466 | Mh Orthodontics | Dentist | 6000 Singleton Rd, Norcross, GA 30093-1968 | 2014-08-11 |
| 1861610081 | Crawford Orthodontic Care, P.C. | Dentist | 3850 Holcomb Bridge Rd, Suite 230, Norcross, GA 30092-5223 | 2007-04-23 |
| 1427080605 | Candace A Castillo | Dentist | 3294 Medlock Bridge Rd, Norcross, GA 30092-3082 | 2006-07-07 |
| 1710927165 | Javid Yavari | Dentist | 3294 Medlock Bridge Rd, Norcross, GA 30092-3082 | 2006-06-07 |
| Find all providers in NORCROSS | ||||
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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.