ATLANTA EMERGENCY DENTAL PC (NPI# 1710051420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710051420 |
| Entity Type | Organization |
| Organization Name | ATLANTA EMERGENCY DENTAL PC |
| Practice Address |
4060 Lavista Rd Tucker GA 30084 |
| Practice Telephone | 7709340770 |
| Mailing Telephone | 7709340770 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LEON G PYE (PRESIDENT OWNER) |
| Authorized Official Telephone | 7709340770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8962 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00172235F | 05 |
| Street Address |
4060 LAVISTA RD |
| City | TUCKER |
| State | GA |
| Zip Code | 30084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618220 | Northlake Urgent Care Inc | Clinic/Center | 4060 Lavista Rd, Tucker, GA 30084-5216 | 2019-09-13 |
| 1447480652 | Atlanta Emergency Dental Center | Dentist | 4060 Lavista Rd, Tucker, GA 30084-5216 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| 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 |
|---|---|---|---|---|
| 1992319271 | Jillian Nicole Felton | Dentist | 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 | 2020-09-03 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1285177295 | Lavista Park Family Dentistry,llc | Dentist | 3939 Lavista Rd, Suite 320e, Tucker, GA 30084-5162 | 2016-11-22 |
| 1124410097 | Jessica Breedlove | Dentist | 2400 State Farm Rd, Tucker, AR 72168-9503 | 2015-03-02 |
| 1952661258 | Meena H. Mehta | Dentist | 3981 Lawrenceville Hwy Ste A, Tucker, GA 30084-4525 | 2012-05-21 |
| 1437317757 | Joseph Olem Brannen | Dentist | 4394 Hugh Howell Rd Suite 7, Tucker, GA 30084-4913 | 2008-05-23 |
| 1821210758 | Douglas R Wurster | Dentist | 2183 Northlake Parkway, #108, Tucker, GA 30084-4108 | 2007-05-02 |
| 1386861904 | Neelima Chiru | Dentist | 2260 Northlake Pkwy, Suite 220, Tucker, GA 30084-4036 | 2007-04-18 |
| 1558493882 | Eric Taliaferro Washington | Dentist | 4500 Hiugh Howell Rd, Suite 710, Tucker, GA 30084 | 2007-03-12 |
| 1225129265 | Norman David Busch | Dentist | 2260 Northlake Parkway, Suite 211, Tucker, GA 30084 | 2006-09-27 |
| Find all providers in TUCKER | ||||
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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.