MARK SHURETT DDS PC (NPI# 1679551790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679551790 |
| Entity Type | Organization |
| Organization Name | MARK SHURETT DDS PC |
| Other Organization Name | HELP A CHILD SMILE |
| Practice Address |
1806 Over Lake Dr Se Conyers GA 30013-1745 |
| Practice Telephone | 7707607900 |
| Practice Fax Number | 7707601375 |
| Mailing Telephone | 7707607900 |
| Mailing Fax Number | 7707601375 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | MR. JOSEPH P RHODES (VICE PRESIDENT) |
| Authorized Official Telephone | 7707607900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Help A Child Smile | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831363670 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| 1558535393 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| Street Address |
1806 OVER LAKE DR SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821511056 | Bhagwati Bhakri | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2017-07-19 |
| 1699055608 | Edileia Porcaro | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2011-08-22 |
| 1841506094 | Sukari J Mcmiller | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2010-08-26 |
| 1760634224 | Elizabeth Check | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-10-15 |
| 1831363670 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| 1558535393 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| 1295812857 | Jaishankar Thirumalai | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376001974 | Dental Wellness Center of Conyers, LLC | Clinic/Center | 1360 Dogwood Dr Se Ste 303-304, Conyers, GA 30013-5075 | 2019-03-04 |
| 1205346640 | Little P.C. | Clinic/Center | 1360 Dogwood Dr Se Ste 304, Conyers, GA 30013-5076 | 2017-10-11 |
| 1235117375 | Shurett Dental Group PC | Clinic/Center | 1816 Lakefield Ct, Conyers, GA 30013 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606490 | Smile Pleasant Hill LLC | Clinic/Center | 828 Pleasant Hill Rd Nw Ste 10, Lilburn, GA 30047-2757 | 2020-10-15 |
| 1982213583 | Munoz Dental Resources LLC | Clinic/Center | 4141 Steve Reynolds Blvd Ste 1, Norcross, GA 30093-3060 | 2020-07-29 |
| 1407474794 | Familia Dentistry of Georgia, LLC | Clinic/Center | 4574 Lawrenceville Hwy Nw Ste 120r, Lilburn, GA 30047-3605 | 2020-07-13 |
| 1336763648 | Bethlehem Orthodontics | Clinic/Center | 426 Exchange Blvd Ste 400, Bethlehem, GA 30620-1791 | 2020-06-02 |
| 1770106882 | Smiles By Dixon PC | Clinic/Center | 690 Lanier Park Dr, Gainesville, GA 30501-2061 | 2020-05-22 |
| 1811516479 | Mouthpeace Dental 4, LLC | Clinic/Center | 541 Forest Pkwy Ste 18, Forest Park, GA 30297-6110 | 2020-04-14 |
| 1427677541 | Mh Dental Group, LLC | Clinic/Center | 1305 Cedarcrest Rd Ste 115, Dallas, GA 30132-8201 | 2020-04-09 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1952935710 | West Cobb Periodontics and Implant Dentistry LLC | Clinic/Center | 44 Old Hamilton Rd Nw Ste 200, Marietta, GA 30064-5901 | 2020-03-02 |
| 1659904241 | Dental Now Kids LLC | Clinic/Center | 4151 Steve Reynolds Blvd Ste 2, Norcross, GA 30093-3060 | 2020-02-21 |
| Find all providers with the same taxonomy | ||||
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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.