CHILDREN FOR DENTISTRY OF ROSWELL, LLC (NPI# 1528369683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528369683 |
| Entity Type | Organization |
| Organization Name | CHILDREN FOR DENTISTRY OF ROSWELL, LLC |
| Practice Address |
12010 Etris Rd Ste A100 Roswell GA 30075-1421 |
| Mailing Address |
Po Box 195 Woodstock GA 30188-0195 |
| Practice Telephone | 6784455444 |
| Practice Fax Number | 6784455552 |
| Mailing Telephone | 6784455444 |
| Mailing Fax Number | 6784455552 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |
| Authorized Official Name | JEANNINE BARTCH (MANAGER) |
| Authorized Official Telephone | 6784455444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
12010 ETRIS RD STE A100 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528171535 | Cobblestone Pathways, LLC | Occupational Therapist | 12010 Etris Rd, Suite A-150, Roswell, GA 30075-1421 | 2006-08-16 |
| 1336681626 | Deborah Fitzgerald | Occupational Therapist | 12010 Etris Rd, Suite A150, Roswell, GA 30075-1421 | 2016-11-17 |
| 1851770317 | Lauren Konigsberg | Speech-Language Pathologist | 12010 Etris Rd, Suite 150, Roswell, GA 30075-1421 | 2015-05-29 |
| 1891174330 | Susannah Hardy | Speech-Language Pathologist | 12010 Etris Rd, Suite A150, Roswell, GA 30075-1421 | 2015-05-28 |
| 1952710758 | Hannah Seger | Music Therapist | 12010 Etris Rd, Suite A-150, Roswell, GA 30075-1421 | 2014-08-05 |
| 1275877672 | Tasia Dockery | Music Therapist | 12010 Etris Rd, A-150, Roswell, GA 30075-1421 | 2012-11-26 |
| 1497020689 | Kristen Hall | Dentist | 12010 Etris Rd, Roswell, GA 30075-1421 | 2012-03-20 |
| 1316226947 | Brenda Chau | Speech-Language Pathologist | 12010 Etris Rd, Suite A150, Roswell, GA 30075-1421 | 2011-08-13 |
| 1194026708 | Family Orthodontics of Rw, LLC | Dentist | 12010 Etris Rd, Roswell, GA 30075-1421 | 2010-11-12 |
| 1952553125 | Lisa Shilman | Dentist | 12010 Etris Rd, Suite A100, Roswell, GA 30076 | 2008-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134521990 | Wonderland Pediatric Dentistry, PC | Dentist | 1570 Old Alabama Rd Ste 104, Roswell, GA 30076-2108 | 2014-09-23 |
| 1265668412 | Children's Dentistry of Roswell | Dentist | 12020 Etris Rd, Suite A100, Roswell, GA 30075-1402 | 2009-06-02 |
| 1568636405 | Roswell Pediatric Dentistry PC | Dentist | 10930 Crabapple Rd Ste 106, Roswell, GA 30075-5825 | 2008-04-22 |
| 1356749964 | Childrens Dental Village, LLC | Dentist | 9420 Willeo Rd, Suite 104, Roswell, GA 30075-6772 | 2014-12-12 |
| 1871995506 | Wonderland Pediatric Dentistry | Dentist | 1570 Old Alabama Rd Ste 104, Roswell, GA 30076-2108 | 2014-09-25 |
| 1396710216 | Vishant Nath | Dentist | 10930 Crabapple Rd, Suite 106, Roswell, GA 30075-5813 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895002 | Ashley Starnesdmd LLC | Dentist | 5482 Chamblee Dunwoody Rd Ste 9, Dunwoody, GA 30338-4142 | 2020-09-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1366060618 | A Dental Home 4 Kidz | Dentist | 155 Carnegie Pl Ste 201, Fayetteville, GA 30214-3981 | 2020-07-13 |
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1629619200 | Peachtree Hills Pediatric Dentistry | Dentist | 2385 Peachtree Rd Ne Ste A2ab, Atlanta, GA 30305-4139 | 2019-10-04 |
| 1871145557 | Dogwood Pediatric Dentistry of Statesboro, LLC | Dentist | 123 Hill Pond Ln, Statesboro, GA 30458-0872 | 2019-07-12 |
| 1952969396 | Ns3 Services, LLC | Dentist | 1039 Grant St Se Ste B11, Atlanta, GA 30315-2050 | 2019-05-31 |
| 1871050872 | Warner Robins Pediatric Dentistry LLC | Dentist | 102 S Houston Rd, Warner Robins, GA 31088-3904 | 2019-02-26 |
| 1730646886 | Smiles for Kids Norcross PC | Dentist | 3953 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-5201 | 2019-02-25 |
| 1073083127 | Pediatric Dentistry of Central Georgia - Macon LLC | Dentist | 5437 Bowman Rd Ste 300, Macon, GA 31210-6575 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
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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.