CREATIVE DENTISTRY OF ATLANTA (NPI# 1588075014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588075014 |
| Entity Type | Organization |
| Organization Name | CREATIVE DENTISTRY OF ATLANTA |
| Practice Address |
5505 Peachtree Dunwoody Rd Suite 460 Atlanta GA 30342 |
| Practice Telephone | 4048833287 |
| Mailing Telephone | 4048833287 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | DR. ANITHA REDDY (OWNER) |
| Authorized Official Telephone | 4048833287 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN012610 | GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801389812 | Creative Dentistry of Atlanta | Dentist | 5505 Peachtree Dunwoody Road, Suite 460, Atlanta, GA 30342 | 2018-06-13 |
| Street Address |
5505 PEACHTREE DUNWOODY RD SUITE 460 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053364166 | Harvey Penfield Cole IIi | Ophthalmology | 5505 Peachtree Dunwoody Rd, Ste 640, Atlanta, GA 30342 | 2006-05-18 |
| 1336769215 | Marylou Kauffman | Registered Nurse | 5505 Peachtree Dunwoody Rd, Atlanta, GA 30342-1705 | 2020-04-21 |
| 1407369200 | Doren Louise Clark | Family Medicine | 5505 Peachtree Dunwoody Rd, Atlanta, GA 30342-1705 | 2017-11-15 |
| 1083078018 | Lauris Taylor Jones Iv | Occupational Therapy Assistant | 5505 Peachtree Dunwoody Rd, Suite 250, Atlanta, GA 30342-1705 | 2016-04-06 |
| 1114387040 | Jc Plastic Surgery of Atlanta, LLC | Surgery | 5505 Peachtree Dunwoody Rd, Suite 220, Atlanta, GA 30342-1705 | 2016-03-04 |
| 1639537384 | Kathrine Walton | Nurse Practitioner | 5505 Peachtree Dunwoody Rd, Suite 600, Atlanta, GA 30342-1705 | 2016-02-09 |
| 1770981763 | Peachtree Dunwoody Oral and Facial Surgery | Dentist | 5505 Peachtree Dunwoody Rd, Suite 660, Atlanta, GA 30342-1705 | 2014-12-08 |
| 1750788105 | Taylor Rae Stone | Physician Assistant | 5505 Peachtree Dunwoody Rd, Suite 412, Atlanta, GA 30342-1758 | 2014-12-01 |
| 1114357910 | Peachtree Orthopaedic Clinic, PC | Pharmacy | 5505 Peachtree Dunwoody Rd, Suite 600-mod E, Atlanta, GA 30342-1705 | 2013-11-15 |
| 1366875122 | Niloufar Soltanian-moffett | Optometrist | 5505 Peachtree Dunwoody Rd, Suite 300, Atlanta, GA 30342-1705 | 2013-08-15 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891336830 | Atlanta Dental Fitness | Clinic/Center | 2296 Henderson Mill Rd Ne Ste 109, Atlanta, GA 30345-2739 | 2019-10-01 |
| 1245881515 | Wayne G Suway D.d.s., PC | Clinic/Center | 1820 The Exchange Se Ste 600, Atlanta, GA 30339-2083 | 2019-09-26 |
| 1033699921 | Meridian Education Resource Group, Inc. | Clinic/Center | 65 Rogers St Ne, Atlanta, GA 30317-1018 | 2018-08-20 |
| 1174979082 | Greenbriar Dental Care, P.C. | Clinic/Center | 2841 Greenbriar Pkwy Sw Ste X306, Atlanta, GA 30331-2635 | 2016-05-10 |
| 1164815254 | Pain Away Dentistry, LLC | Clinic/Center | 5626 Fulton Industrial Blvd Sw, Ste 110, Atlanta, GA 30336-2641 | 2015-03-12 |
| 1578809919 | Georgia Dental Care Inc | Clinic/Center | 5025 Winters Chapel Rd, Suite F, Atlanta, GA 30360-1700 | 2012-12-12 |
| 1770834954 | Edgewood Dental Center | Clinic/Center | 545 Edgewood Ave Se, Atlanta, GA 30312-1936 | 2012-09-27 |
| 1871853366 | International Harvest Dentistry | Clinic/Center | 5555 Peachtree Dunwoody Rd Ne Ste G73, Atlanta, GA 30342-1787 | 2012-05-18 |
| 1306104260 | Powell and Associates Dds, PC | Clinic/Center | 2800 Spring Road, Suite F-2, Atlanta, GA 30339-3092 | 2012-04-30 |
| 1679782585 | J. Stephen Buckler, Dmd, PC | Clinic/Center | 3632 Chamblee Tucker Rd, Atlanta, GA 30341-4418 | 2007-05-21 |
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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.