DR. LISKA M ANDU (NPI# 1609052877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609052877 |
| Entity Type | Individual |
| Full Name | DR. LISKA M ANDU |
| Credential | DDS |
| Practice Address |
5026 Winding Hills Ln Woodstock GA 30189-2582 |
| Mailing Address |
3525 Busbee Dr Nw Suite 200 Kennesaw GA 30144-5511 |
| Practice Telephone | 7705913947 |
| Mailing Telephone | 6788362115 |
| Mailing Fax Number | 7704410299 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 011227 | GA | Dental Providers |
| Street Address |
5026 WINDING HILLS LN |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| 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 |
|---|---|---|---|---|
| 1780221457 | Foundation Dental Partners Georgia, P.C. | Dentist | 1816 Eagle Dr Ste 200-a, Woodstock, GA 30189-8274 | 2019-12-02 |
| 1619538485 | John Perisin | Dentist | 11585 Us Highway 14, Woodstock, IL 60098-7227 | 2019-06-24 |
| 1326365115 | Carl Paul Levitt | Dentist | 1025 Rose Creek Drive, Suite 260, Woodstock, GA 30189 | 2010-05-03 |
| 1407008790 | John F. Evans | Dentist | 669 S. Eastwood Drive, Woodstock, IL 60098-4632 | 2008-10-17 |
| 1851541429 | Lucciola Lambruschini | Dentist | 781 Spring Pkwy, Woodstock, VA 22664-1605 | 2008-09-19 |
| 1679739437 | Ross Frank Bohl | Dentist | 740 S Eastwood Dr, Woodstock, IL 60098-4635 | 2008-07-31 |
| 1982864658 | John Joseph Schultz | Dentist | 715 W Judd St, Woodstock, IL 60098-3186 | 2008-06-16 |
| 1275728636 | Timothy N. Byrd, D.m.d., P.C. | Dentist | 2035 Towne Lake Pkwy, Suite 130, Woodstock, GA 30189-5569 | 2007-09-10 |
| 1598968042 | Ian Sturn | Dentist | 10010 Highway 92, Suite 140, Woodstock, GA 30188-6427 | 2007-06-11 |
| 1588876734 | Corinne M. Walker | Dentist | 4595 Towne Lake Parkway, Building 400 Suite 150, Woodstock, GA 30189-6757 | 2007-05-03 |
| Find all providers in WOODSTOCK | ||||
Please comment or provide details below to improve the information on DR. LISKA M ANDU.
| 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.