FOREST PARKWAY DENTAL GROUP (NPI# 1770622201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770622201 |
| Entity Type | Organization |
| Organization Name | FOREST PARKWAY DENTAL GROUP |
| Practice Address |
4930 Governors Dr Suite 405 Forest Park GA 30297-6101 |
| Practice Telephone | 4043631700 |
| Practice Fax Number | 8508372042 |
| Mailing Telephone | 4043631700 |
| Mailing Fax Number | 8508372042 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JULIE MAST (OFFICE MANAGER) |
| Authorized Official Telephone | 4043631700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
4930 GOVERNORS DR SUITE 405 |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477822575 | Atlanta Internal Medicine Group, Inc. | Internal Medicine | 4930 Governors Dr, Suite 401, Forest Park, GA 30297-6101 | 2011-12-19 |
| 1417278599 | Phases Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 4930 Governors Dr, 409, Forest Park, GA 30297-6101 | 2010-06-12 |
| 1184875882 | Syretta Wells | Dentist | 4930 Governors Dr, Suite 405, Forest Park, GA 30297-6101 | 2008-10-01 |
| 1588864052 | Sung-yun Woo | Dentist | 4930 Governors Dr, Ste 405, Forest Park, GA 30297-6101 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| Find all providers in zip 30297 | ||||
| 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 |
|---|---|---|---|---|
| 1598906380 | Damc Dental and Medical Resources LLC | Dentist | 4095 Jonesboro Rd, Forest Park, GA 30297-1066 | 2009-03-09 |
| 1144392259 | Steven F Stempora | Dentist | 333 Circle Ave, Forest Park, IL 60130-3624 | 2006-11-14 |
| 1942386867 | Amanda Malayter | Dentist | 4458 Jonesboro Rd, Forest Park, GA 30297-4314 | 2006-10-31 |
| 1013980705 | Illinois Dental Providers (harlem & North), Ltd. | Dentist | 7235 Madison St, Forest Park, IL 60130-1764 | 2006-02-11 |
| 1083094551 | Leonard Johnson | Dentist | 4458 Jonesboro Rd, Forest Park, GA 30297-4314 | 2015-05-31 |
| 1811233695 | Dr. Karen Fields Inc | Dentist | 7610 Roosevelt Rd, Forest Park, IL 60130-2295 | 2012-12-22 |
| 1518218353 | Damaris Derece Bastian | Dentist | 4458 Jonesboro Rd, Forest Park, GA 30297 | 2012-09-19 |
| 1649410754 | Atima Kamra | Dentist | 333 Circle Ave, Forest Park, IL 60130-3624 | 2009-03-02 |
| 1184875882 | Syretta Wells | Dentist | 4930 Governors Dr, Suite 405, Forest Park, GA 30297-6101 | 2008-10-01 |
| 1699967208 | Marlene Lynn Beeson | Dentist | 333 Circle Ave, Forest Park, IL 60130-3624 | 2007-08-16 |
| Find all providers in FOREST PARK | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
Please comment or provide details below to improve the information on FOREST PARKWAY DENTAL GROUP.
| 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.