PATRICK VANDERHEI (NPI# 1780748400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780748400 |
| Entity Type | Individual |
| Full Name | PATRICK VANDERHEI |
| Credential | DDS, MSD |
| Practice Address |
3590 Braselton Hwy Ste 103 Dacula GA 30019-1120 |
| Practice Telephone | 6783183353 |
| Practice Fax Number | 6783183350 |
| Mailing Telephone | 6783183353 |
| Mailing Fax Number | 6783183350 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN012702 | GA | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN012702 | GA | Dental Providers |
| Street Address |
3590 BRASELTON HWY STE 103 |
| City | DACULA |
| State | GA |
| Zip Code | 30019-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285720144 | Wenona B Van Derhei | Dentist | 3590 Braselton Hwy Ste 103, Dacula, GA 30019-1120 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1770132581 | Auburn Periodontics of Columbus, LLC | Dentist | 400 Brookstone Centre Pkwy Ste 100, Columbus, GA 31904-3640 | 2019-09-05 |
| 1942655816 | Dental Rescue Therapy Group, LLC | Dentist | 39 Vernon Glen Ct, Atlanta, GA 30338-5422 | 2016-04-28 |
| 1033576921 | Hal Arnold | Dentist | 50 Old Ivy Rd Ne, Suite 100, Atlanta, GA 30342-4538 | 2016-01-22 |
| 1265815997 | Fadi Al Farawati | Dentist | Au Dental Associates 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0415 | 2015-06-30 |
| 1124315965 | Aundrea Vereen Eady | Dentist | 2485 Park Central Blvd Ste 3, Decatur, GA 30035-3903 | 2011-06-30 |
| 1801124466 | Janine J Bethea | Dentist | 5546 Waterford Green Gln, Marietta, GA 30068-2930 | 2009-11-19 |
| 1770718553 | Anna Magdalena Refai | Dentist | 200 Galleria Pkwy, Suite 1830, Atlanta, GA 30339 | 2009-05-21 |
| 1467693952 | Cathy J Smith | Dentist | 4469 Columbia Rd Ste E, Augusta, GA 30907-4572 | 2009-03-13 |
| 1578729083 | James S. Wheeler | Dentist | 214 Arrowhead Blvd, Jonesboro, GA 30236-1102 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
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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.