JLM DENTISTRY OF STOCKBRIDGE (NPI# 1689960692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689960692 |
| Entity Type | Organization |
| Organization Name | JLM DENTISTRY OF STOCKBRIDGE |
| Practice Address |
3579 Highway 138 Se Suite 202 Stockbridge GA 30281-4142 |
| Mailing Address |
4450 S Cobb Dr Se Smyrna GA 30080-6329 |
| Practice Telephone | 7704746111 |
| Practice Fax Number | 7704745897 |
| Mailing Telephone | 7704331515 |
| Mailing Fax Number | 7704330039 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |
| Authorized Official Name | JARRETT L MANNING (OWNER) |
| Authorized Official Telephone | 6786405272 |
| Authorized Official Credential | D.D.S./MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013349 | GA | Dental Providers |
| Street Address |
3579 HIGHWAY 138 SE SUITE 202 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023034626 | The Doctor's Office, LLC | Family Medicine | 3579 Highway 138 Se, Suite 201, Stockbridge, GA 30281-4142 | 2006-07-15 |
| 1952731903 | Kimberly Lynn Corbitt | Physician Assistant | 3579 Highway 138 Se, Suite 101, Stockbridge, GA 30281-4142 | 2013-11-12 |
| 1609114206 | Christopher Stephen Fritzen | Physician Assistant | 3579 Highway 138 Se, Suite 101, Stockbridge, GA 30281-4142 | 2013-01-17 |
| 1578884516 | The Doctor's Office, LLC | Family Medicine | 3579 Highway 138 Se, Suite 101, Stockbridge, GA 30281-4142 | 2010-06-14 |
| 1063737294 | Kyoo Ricard | Internal Medicine | 3579 Highway 138 Se, Suite 101, Stockbridge, GA 30281-4142 | 2010-03-31 |
| 1053515338 | Loni Elise Jenkins | Family Medicine | 3579 Highway 138 Se, Suite 101, Stockbridge, GA 30281-4142 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537008 | Alex H Bartholomew | Dentist | 350 Country Club Dr Ste E, Stockbridge, GA 30281-9084 | 2019-06-18 |
| 1124329958 | Dentistry for Children of Stockbridge II, LLC | Dentist | 125 Eagles Pointe Pkwy Ste 130, Stockbridge, GA 30281-6379 | 2010-11-10 |
| 1972804797 | Dentistry for Children of Stockbridge, LLC | Dentist | 125 Eagles Pointe Pkwy Ste 210, Stockbridge, GA 30281-6379 | 2010-11-10 |
| 1780855973 | Bhat Dental Associates | Dentist | 590 Eagles Landing Pkwy, Stockbridge, GA 30281-7236 | 2008-03-17 |
| 1134324155 | Jolene Alicia Krol | Dentist | 3 Elm St., Stockbridge, MA 01262 | 2007-06-19 |
| 1891829651 | Stephanie M Delice, P.C. | Dentist | 3579 Hwy 138, 202, Stockbridge, GA 30281 | 2007-03-15 |
| 1639214299 | White Oak Dental Pllc | Dentist | 2600 N M 52, Stockbridge, MI 49285-9766 | 2007-02-21 |
| 1174668206 | Drs. Kurtis and Joanne Davis, P.C. | Dentist | 1100 Eagles Landing Pkwy, Ste. A, Stockbridge, GA 30281-7271 | 2007-02-20 |
| 1528107943 | Stockbridge Dental Group | Dentist | 330 Corporate Center Ct, Suite A, Stockbridge, GA 30281-6360 | 2007-02-05 |
| 1528110277 | Patricia Homer | Dentist | 7454 Hannover Parkway, Suite 200, Stockbridge, GA 30281 | 2007-01-16 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on JLM DENTISTRY OF STOCKBRIDGE.
| 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.