ASSOCIATED ORAL SPECIALITES (NPI# 1578098364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578098364 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED ORAL SPECIALITES |
| Practice Address |
5671 Peachtree Dunwoody Rd Suite 420 Atlanta GA 30342-5000 |
| Practice Telephone | 7703750375 |
| Mailing Telephone | 7703750375 |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2017-04-29 |
| Authorized Official Name | FREDDIE JAMES WAKEFIELD JR. (OWNER) |
| Authorized Official Telephone | 7703750375 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
5671 PEACHTREE DUNWOODY RD SUITE 420 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295725463 | Anshul Mahendra Patel | Internal Medicine | 5671 Peachtree Dunwoody Rd, Suite 300 B, Atlanta, GA 30342-1786 | 2005-10-27 |
| 1194349613 | Heather Chiappone | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd, Atlanta, GA 30342-5000 | 2020-06-01 |
| 1104471093 | Holley Davis | Physician Assistant | 5671 Peachtree Dunwoody Rd, Atlanta, GA 30342-5000 | 2019-08-07 |
| 1215592704 | Mohammad Pradhan | Anesthesiology | 5671 Peachtree Dunwoody Rd, Atlanta, GA 30342-5000 | 2019-05-09 |
| 1164905550 | Michael Thomason | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd, Atlanta, GA 30342-5000 | 2018-09-11 |
| 1053890459 | Matthew Richmond Laudel | Physical Therapist | 5671 Peachtree Dunwoody Rd, Atlanta, GA 30342-5000 | 2018-08-07 |
| 1760960496 | Andrew Montalvo | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd, Atlanta, GA 30342-5000 | 2018-08-03 |
| 1073045779 | Louisa Christine Kalinke | Nurse Practitioner | 5671 Peachtree Dunwoody Rd, Suite 300, Atlanta, GA 30342-5000 | 2017-03-31 |
| 1730625815 | Naportia Wortham | Physical Therapist | 5671 Peachtree Dunwoody Rd, #900, Atlanta, GA 30342-5000 | 2017-01-12 |
| 1740634674 | Joshua Deloach Elliott | Physician Assistant | 5671 Peachtree Dunwoody Rd, Ste 250, Atlanta, GA 30342-5000 | 2016-04-18 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649740796 | Sandy Springs Oral Surgery, LLC | Dentist | 5555 Peachtree Dunwoody Rd Ste G56, Atlanta, GA 30342-1700 | 2018-12-02 |
| 1245721216 | East Atlanta Oral, Implant and Facial Surgery Center | Dentist | 519 Memorial Dr Se Unit D1, Atlanta, GA 30312-2218 | 2018-05-24 |
| 1497261960 | Rockwell Oral and Facial Surgery LLC | Dentist | 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 | 2017-12-20 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1841697539 | Brittney Barrow | Dentist | 60 11th St Ne Apt 2021, Atlanta, GA 30309-4388 | 2014-11-25 |
| 1083889661 | Amy Diane Kuhmichel | Dentist | 3280 Howell Mill Rd Nw Ste 221, Atlanta, GA 30327-4100 | 2008-04-24 |
| 1255517769 | Abtin Shahriari | Dentist | 182 Robin Hood Rd Ne, Atlanta, GA 30309-2658 | 2008-01-15 |
| 1033153671 | Joyce T Lee | Dentist | 1175 Peachtree St Ne, Suite 1202, Atlanta, GA 30361-6202 | 2006-06-15 |
| 1063471324 | Peachtree Oral & Maxillofacial Surgery Associates | Dentist | 550 Pharr Rd Ne, Suite 325, Atlanta, GA 30305-3428 | 2006-03-23 |
| 1134123524 | Lee Mclean Whitesides | Dentist | 5576 Chamblee-dunwoody Rd, Atlanta, GA 30338 | 2005-06-13 |
| 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.