HARESH MODHA (NPI# 1558746974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558746974 |
| Entity Type | Individual |
| Full Name | HARESH MODHA |
| Credential | D.D.S. |
| Practice Address |
15 Collins Industrial Way Ste A Lawrenceville GA 30043-6029 |
| Practice Telephone | 7709623191 |
| Mailing Telephone | 7709623191 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2017-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN015134 | GA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN21377 | FL | Dental Providers |
| Street Address |
15 COLLINS INDUSTRIAL WAY STE A |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| 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 |
|---|---|---|---|---|
| 1225660541 | Ama Dental Care LLC | Dentist | 3370 Sugarloaf Pkwy Ste G8, Lawrenceville, GA 30044-5486 | 2020-02-05 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1558815365 | Maxim Godko | Dentist | 100 Federal City Rd # 104b, Lawrenceville, NJ 08648-1664 | 2016-08-09 |
| 1194185983 | Lawrenceville Dentist Office, PC | Dentist | 918 Duluth Hwy, Suite B, Lawrenceville, GA 30043 | 2016-03-07 |
| 1205249570 | Heartland Dental Care of Georgia, P.C. | Dentist | 4795 Sugarloaf Pkwy, Lawrenceville, GA 30044-6984 | 2014-06-04 |
| 1528318508 | Reach Dental PC | Dentist | 845 Scenic Hwy, Suite#300, Lawrenceville, GA 30046-7101 | 2012-09-17 |
| 1467602037 | Frank Horting Jones | Dentist | 73 Hopatcong Dr, Lawrenceville, NJ 08648-4133 | 2008-09-19 |
| 1275707200 | Jennifer Lynn Mccoy | Dentist | 365 W Pike St Ste 101, Lawrenceville, GA 30046-4862 | 2008-04-22 |
| 1750554937 | Dr. Asha J Vellanki Dds PC | Dentist | 1575 Lawrenceville Hwy, Ste G, Lawrenceville, GA 30044-4605 | 2008-04-08 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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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.