CORNERSTONE DENTSITRY; PC (NPI# 1558664227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558664227 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE DENTSITRY; PC |
| Practice Address |
2463 Hamilton Mill Pkwy 240 Dacula GA 30019-4648 |
| Practice Telephone | 7709326510 |
| Mailing Telephone | 7709326510 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |
| Authorized Official Name | DR. EDWARD D MCDONALD (PRESIDENT/CEO) |
| Authorized Official Telephone | 7709326510 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN013829 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 847469223C | 05 |
| Street Address |
2463 HAMILTON MILL PKWY 240 |
| City | DACULA |
| State | GA |
| Zip Code | 30019-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730129248 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2463 Hamilton Mill Pkwy, Dacula, GA 30019-4648 | 2006-06-07 |
| 1154931483 | Andrew David Mote | Pharmacist | 2463 Hamilton Mill Pkwy, Dacula, GA 30019-4648 | 2020-08-02 |
| 1437793668 | Floriebelle J Simmons | Pharmacist | 2463 Hamilton Mill Pkwy, Dacula, GA 30019-4648 | 2019-10-31 |
| 1174020499 | Youn Jeoung | Pharmacist | 2463 Hamilton Mill Pkwy, Dacula, GA 30019-4648 | 2018-04-12 |
| 1174984389 | Ji Won Kim | Pharmacist | 2463 Hamilton Mill Pkwy, Dacula, GA 30019-4648 | 2016-03-15 |
| 1215374475 | Ankit Patel | Pharmacist | 2463 Hamilton Mill Pkwy, Dacula, GA 30019-4648 | 2013-05-29 |
| 1801134895 | Jennifer Bhanji | Pharmacist | 2463 Hamilton Mill Pkwy, Dacula, GA 30019-4648 | 2013-01-25 |
| 1881931848 | Jason N. Brown | Pharmacist | 2463 Hamilton Mill Pkwy, Dacula, GA 30019-4648 | 2013-01-10 |
| 1285871012 | Edward D'witt Mcdonald | Dentist | 2463 Hamilton Mill Pkwy, Suite 240, Dacula, GA 30019-4648 | 2009-01-15 |
| 1336283571 | Jeremy Robert Ward | Dentist | 2463 Hamilton Mill Pkwy, Suite 240, Dacula, GA 30019-4648 | 2007-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| 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 |
|---|---|---|---|---|
| 1467825653 | Meg Ferdos | Dentist | 635 Dacula Rd Ste 105, Dacula, GA 30019-2102 | 2015-11-10 |
| 1376927665 | Joshua Haycock | Dentist | 1862 Auburn Rd Ste 103, Dacula, GA 30019-1677 | 2015-07-16 |
| 1740366095 | Nooredin Nurani | Dentist | 420 Dacula Rd, Dacula, GA 30019-2128 | 2006-10-30 |
| 1770005894 | Daniel Sukwoo Hwang | Dentist | 635 Dacula Rd Ste 105, Dacula, GA 30019-2136 | 2017-07-11 |
| 1023550753 | Mit Brahmbhatt | Dentist | 635 Dacula Rd Ste 105, Dacula, GA 30019-2136 | 2016-11-11 |
| 1285871012 | Edward D'witt Mcdonald | Dentist | 2463 Hamilton Mill Pkwy, Suite 240, Dacula, GA 30019-4648 | 2009-01-15 |
| 1295906659 | Mary Katherine Falletta-swegman | Dentist | 3611 Braselton Hwy, Suite 104, Dacula, GA 30019-4671 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920445 | Islands Family Dental, LLC | Dentist | 3 Wilmington Village Way, Savannah, GA 31410-3700 | 2020-10-19 |
| 1528665486 | Mount Vernon Dental Group, LLC | Dentist | 2472 Jett Ferry Rd Ste 430, Dunwoody, GA 30338-3059 | 2020-10-05 |
| 1144835570 | Affordable Dentures & Implants of Georgia II, LLC | Dentist | 3675 Satellite Blvd Ste 700, Duluth, GA 30096-2309 | 2020-09-11 |
| 1164037800 | Darby Kathryn Gentry | Dentist | 3585 Lawrenceville Suwanee Rd # 101-a, Suwanee, GA 30024-7058 | 2020-09-10 |
| 1437763380 | Ah Chong | Dentist | 755 Commerce Dr Ste 513, Decatur, GA 30030-2618 | 2020-09-08 |
| 1992319271 | Jillian Nicole Felton | Dentist | 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 | 2020-09-03 |
| 1295347748 | Elizabeth W Muraya | Dentist | 5218 Jimmy Lee Smith Pkwy Ste 100, Hiram, GA 30141-2747 | 2020-08-17 |
| 1942818182 | Prasanthi Pattabhi | Dentist | 2993 Normandy Rdg, Lawrenceville, GA 30044-7869 | 2020-07-14 |
| 1700404522 | Rocio Jacobo Rubio | Dentist | 23 Old Atlanta Hwy Ste 200, Newnan, GA 30263-6341 | 2020-07-08 |
| 1265059364 | Abboss Sharifzadeh | Dentist | 4090 Jiles Rd Nw, Kennesaw, GA 30144-1105 | 2020-07-06 |
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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.