DR. PHILLIP L. PARHAM JR. (NPI# 1700802857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700802857 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP L. PARHAM JR. |
| Credential | DMD |
| Practice Address |
1107 Memorial Dr Suite G01 Dalton GA 30720-8662 |
| Practice Telephone | 7062785344 |
| Practice Fax Number | 7062788816 |
| Mailing Telephone | 7062785344 |
| Mailing Fax Number | 7062788816 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN009654 | GA | Dental Providers |
| Street Address |
1107 MEMORIAL DR SUITE G01 |
| City | DALTON |
| State | GA |
| Zip Code | 30720-8662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671323 | Wallace R Weeks | Family Medicine | 1107 Memorial Dr, Suite 300, Dalton, GA 30720-8662 | 2005-07-07 |
| 1649677709 | Kenneth Jeremy Micheff | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-12-04 |
| 1568865947 | Shirin Noorani | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-09-30 |
| 1053720441 | Susan Marina Yates | Nurse Practitioner | 1107 Memorial Dr, Suite 100, Dalton, GA 30720-8668 | 2014-08-11 |
| 1679992341 | Jennifer Wright | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-04-10 |
| 1699199497 | Natasha Micheff | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-02-13 |
| 1215366844 | Ashley Miller | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2013-11-04 |
| 1639418874 | Shanna E. Avila | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2013-02-07 |
| 1235482001 | Lyndsey Renee Randolph | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2012-10-18 |
| 1356699169 | Amanda L Smidt | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2012-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420146 | Scott Hansen Lowry | Dentist | 1430 John Wesley Drive, Augusta, GA 30912-0001 | 2020-02-25 |
| 1780233981 | North Point Periodontics Center LLC | Dentist | 4205 N Point Pkwy Ste A, Alpharetta, GA 30022-8808 | 2019-09-10 |
| 1972012961 | Newnan Periodontics LLC | Dentist | 1635 Highway 34 E Ste A, Newnan, GA 30265-2173 | 2017-09-22 |
| 1871948695 | Kyle Garrett | Dentist | 2704 W Terrace Dr, Augusta, GA 30909-3622 | 2016-04-29 |
| 1346601291 | Titanium Dental | Dentist | 3796 Satellite Blvd Ste 101, Duluth, GA 30096-5698 | 2016-03-18 |
| 1073972584 | Kara Kramer | Dentist | 2970 Peachtree Rd Nw Ste 622, Atlanta, GA 30305-2115 | 2016-02-12 |
| 1922491356 | John H Eaton | Dentist | 1776 Old Spring House Ln Ste 301, Dunwoody, GA 30338-6225 | 2015-03-10 |
| 1679977656 | M Forest Butler Dds Ms PC | Dentist | 320 Killian Hill Rd Nw, Lilburn, GA 30047-3809 | 2014-10-20 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| 1699104927 | Nisha Maniar Kancherla | Dentist | 300 W Wieuca Rd Ne Suite 100, Atlanta, GA 30342-9701 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PHILLIP L. PARHAM JR..
| 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.