EDILEIA PORCARO (NPI# 1699055608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699055608 |
| Entity Type | Individual |
| Full Name | EDILEIA PORCARO |
| Credential | DMD |
| 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 | 2011-08-22 |
| Last Update Date | 2011-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN014329 | GA | Dental Providers |
| Street Address |
1806 OVER LAKE DR SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679551790 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2006-01-09 |
| 1821511056 | Bhagwati Bhakri | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2017-07-19 |
| 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 | 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 |
|---|---|---|---|---|
| 1396397386 | Cornelius Homer Daniel | Dentist | 2239 Highway 20 Se Ste H, Conyers, GA 30013-2087 | 2019-07-10 |
| 1811554058 | Professional Dental Alliance of Conyers, LLC | Dentist | 1820 Georgia Highway 20 Se Ste 148, Conyers, GA 30013-2076 | 2019-05-23 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| 1487093464 | Anushka Amin | Dentist | 1096 West Ave Sw Ste A, Conyers, GA 30012-5244 | 2013-06-23 |
| 1578794673 | Sandy Michelet-vialva | Dentist | 1755 Parker Rd Se, Suite A110, Conyers, GA 30094-6650 | 2009-08-06 |
| 1376777920 | Maria Michelle Flanigan | Dentist | 5220 Bailey Rd Sw, Conyers, GA 30094-4737 | 2009-05-12 |
| 1487842951 | Conyers Dentures & Implant Center | Dentist | 1916 Iris Drive, Sw, Conyers, GA 30094 | 2007-10-10 |
| 1396962262 | Satpal Shikh | Dentist | 1745 Highway 138 Se Ste C3, Conyers, GA 30013-5710 | 2007-04-19 |
| 1528186061 | Thomas William Moorman | Dentist | 1455 Old Mcdonough Hwy Se Ste B, Conyers, GA 30094-5979 | 2007-03-26 |
| 1902948847 | Cathy S. Creager | Dentist | 992 E Freeway Dr Se, Suite B, Conyers, GA 30094-5916 | 2007-02-13 |
| Find all providers in CONYERS | ||||
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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.