GEORGIA DENTAL PROFESSIONALS, PC (NPI# 1720693690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720693690 |
| Entity Type | Organization |
| Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
| Practice Address |
3625 Browns Bridge Rd Ste 101 Cumming GA 30028-4198 |
| Practice Telephone | 6784565596 |
| Mailing Telephone | 6784565596 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Coal Mountain Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098214 | Georgia Dental Professionals, PC | Dentist | 3000 Chapel Hill Rd Ste 104, Douglasville, GA 30135-1841 | 2020-09-21 |
| 1063028769 | Georgia Dental Professionals, PC | Dentist | 3364 Hamilton Mill Rd, Buford, GA 30519-4005 | 2020-09-17 |
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1780220194 | Georgia Dental Professionals, PC | Dentist | 4355 Towne Lake Pkwy, Woodstock, GA 30189-8150 | 2019-11-20 |
| 1831746999 | Georgia Dental Professionals, PC | Dentist | 1207 Highway 74 S, Peachtree City, GA 30269-3078 | 2019-08-23 |
| 1972165207 | Georgia Dental Professionals, PC | Dentist | 516 Ga Highway 247 S, Bonaire, GA 31005-3865 | 2019-07-08 |
| 1710546148 | Georgia Dental Professionals, PC | Dentist | 8022 Cumming Hwy, Canton, GA 30115-9337 | 2019-06-10 |
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| 1417422007 | Georgia Dental Professionals, PC | Dentist | 6759 Hickory Rd, Woodstock, GA 30188-2019 | 2018-10-10 |
| Street Address |
3625 BROWNS BRIDGE RD STE 101 |
| City | CUMMING |
| State | GA |
| Zip Code | 30028-4198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393508 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5310 Matt Hwy, Cumming, GA 30028 | 2019-12-19 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1306131198 | Megin Murphy Ward | Speech-Language Pathologist | 4215 Pheasant Run Trace, Cumming, GA 30028 | 2011-06-09 |
| 1457873416 | Wal-mart East, Lp | Technician/Technologist | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-12 |
| 1265600654 | Kevin Allen Lowden | Dentist | 755 Mt Vernon Hwy Ne, Suite 440, Atlanta, GA 30028 | 2008-02-19 |
| 1730619222 | Amy Renee Profesorsky | Physical Therapist | 6030 Thrasher Ct, Cumming, GA 30028-2217 | 2017-06-15 |
| 1790395697 | Graciela Osses | Registered Nurse | 1945 Dr Bramblett Rd, Cumming, GA 30028-2852 | 2020-08-05 |
| 1033541735 | Kimberley A Linert, Inc | Optometrist | 525 Tribble Gap Rd, #1305, Cumming, GA 30028-2937 | 2013-08-05 |
| 1891044160 | Tabitha Anne Kephart | Specialist/Technologist, Other | 4485 Hubert Martin Rd, Cumming, GA 30028-3269 | 2012-09-02 |
| 1487073904 | North Georgia Therapy for Kids, LLC | Clinic/Center | 4655 Dahlonega Hwy, Cumming, GA 30028-3304 | 2014-04-11 |
| Find all providers in zip 30028 | ||||
| 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 |
|---|---|---|---|---|
| 1255992517 | Maya Basu | Dentist | 1200 Bald Ridge Marina Rd Ste 200, Cumming, GA 30041-8526 | 2019-06-26 |
| 1760996656 | Cumming Dental Associates, PC | Dentist | 7185 Colfax Ave., Cumming, GA 30040 | 2017-11-30 |
| 1669812558 | Kylee Bishop | Dentist | 285 Elm St Ste 301, Cumming, GA 30040-8233 | 2013-06-25 |
| 1225310592 | Iryna Korniyenko Yelisetty | Dentist | 1475 Peachtree Pkwy Ste C3, Cumming, GA 30041-9793 | 2011-09-13 |
| 1245533868 | Heartland Dental Care of Georgia | Dentist | 1595 Peachtree Pkwy Ste 207, Cumming, GA 30041-9583 | 2010-12-21 |
| 1700187549 | Dentistry for Children of Cumming I, LLC | Dentist | 5071 Post Rd Ste 304, Cumming, GA 30040-5442 | 2010-11-10 |
| 1922235399 | Victor A Robinson | Dentist | 1530 Market Place Blvd, Cumming, GA 30041-7926 | 2009-06-12 |
| 1831335728 | Elaine C Powalka | Dentist | 1970 Habersham Marina Rd, Cumming, GA 30041 | 2008-12-23 |
| 1679793236 | Clyde G Steed Jr. | Dentist | 2350 Atlanta Hwy, Suite 100, Cumming, GA 30040-8026 | 2007-04-26 |
| 1841315710 | Colin Walters | Dentist | 208 Pirkle Ferry Rd Ste A, Cumming, GA 30040-2526 | 2007-03-20 |
| Find all providers in CUMMING | ||||
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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.