AMELIA B GRANBERRY (NPI# 1619123296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619123296 |
| Entity Type | Individual |
| Full Name | AMELIA B GRANBERRY |
| Credential | DMD |
| Practice Address |
13570 N Main St Trenton GA 30752-2012 |
| Practice Telephone | 7066577575 |
| Practice Fax Number | 7066574430 |
| Mailing Telephone | 7066577575 |
| Mailing Fax Number | 7066574430 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN013770 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA LICENSE | DN013770 | 01 |
| Street Address |
13570 N MAIN ST |
| City | TRENTON |
| State | GA |
| Zip Code | 30752-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780649012 | Lucinda S Hill | Family Medicine | 13570 N Main St, Trenton, GA 30752-2012 | 2006-04-19 |
| 1780208835 | Shalane Marie Lamb | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2020-06-04 |
| 1518593151 | Felix D Cruz | Counselor | 13570 N Main St, Trenton, GA 30752-2012 | 2020-03-16 |
| 1871152587 | Anna Katharine Horne | Counselor | 13570 N Main St, Trenton, GA 30752-2012 | 2019-06-07 |
| 1962997189 | Katharine Renee Scott | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2018-06-29 |
| 1750829040 | Amy Nicole Scott | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2017-02-07 |
| 1407210107 | Danielle C Townsend | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2016-04-08 |
| 1306209788 | Anna E Thomas | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2016-04-01 |
| 1093189540 | Jenny Scott | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2015-11-20 |
| 1245600725 | Sheena Anderson-finch | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126492 | Frederic Oehlschlaeger | Pharmacist | 5431 Ga-136, Trenton, GA 30752 | 2019-10-25 |
| 1649700212 | Lisa Michelle Stephans | Counselor | 12586 North Main Street, Trenton, GA 30752 | 2017-06-15 |
| 1881019305 | Crystal L Hancock | Nurse Practitioner | 12978 North Main Street, Trenton, GA 30752 | 2014-02-20 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1699021360 | Megan Hall Nunn | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2012-07-31 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1184783771 | Cindy Marie Simmons | Physician Assistant | 111 North Pine Street, Trenton, GA 30752 | 2006-12-08 |
| 1124190962 | Lookout Mountain Community Services | Community/Behavioral Health | 12580 North Main St., Trenton, GA 30752 | 2006-11-15 |
| 1386725893 | Dade County Board of Health | Public Health or Welfare | 71 Case Ave, Suite H100, Trenton, GA 30752 | 2006-10-18 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| Find all providers in zip 30752 | ||||
| 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 |
|---|---|---|---|---|
| 1669895199 | I-smile Dental PC | Dentist | 14 N Broad St, Trenton, NJ 08608-1702 | 2014-02-04 |
| 1265793228 | Michael Ryan Farrar | Dentist | 2066 Highway 45 By Pass, Trenton, TN 38382-9998 | 2012-06-06 |
| 1265692883 | Charles M Ortegon | Dentist | 637 Greenwood Ave, Trenton, NJ 08609 | 2008-06-17 |
| 1306961859 | Albert David Timko | Dentist | 1891 Pennington Rd, Trenton, NJ 08618 | 2007-03-20 |
| 1306929500 | Brian William Salesin | Dentist | 1600 Kingsway Ct, Trenton, MI 48183 | 2006-10-23 |
| 1083700645 | Jjoseph Goodin Slonecker | Dentist | 152 East 8th Street, Trenton, MO 64683 | 2006-10-04 |
| 1831296953 | William Robert Mchargue | Dentist | 2700 Oklahoma Avenue, Trenton, MO 64683 | 2006-09-20 |
| 1750347738 | James Delahanty | Dentist | 226 Scotch Rd, Trenton, NJ 08628-2513 | 2006-04-26 |
| 1942261060 | Brian D. Hartwell | Dentist | 2911 West Rd, Trenton, MI 48183-2469 | 2006-03-29 |
| 1497267694 | Professional Dental Alliance of Trenton, Pllc | Dentist | 1545 Kingsway Ct, Trenton, MI 48183-1952 | 2017-10-27 |
| Find all providers in TRENTON | ||||
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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.