DR. FRED E BEALL SR. (NPI# 1790872307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790872307 |
| Entity Type | Individual |
| Full Name | DR. FRED E BEALL SR. |
| Credential | DDS PC |
| Practice Address |
2971 Vineville Ave Macon GA 31204 |
| Practice Telephone | 4787460727 |
| Mailing Telephone | 4787460727 |
| Mailing Fax Number | 4787460727 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | GA6610 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457442311 | Fred Eugene Beall Jr. | Dentist | 902 E Lamar St, Americus, GA 31709-3741 | 2006-09-27 |
| Street Address |
2971 VINEVILLE AVE |
| City | MACON |
| State | GA |
| Zip Code | 31204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326193368 | Pinkney Henry Gilchrist Iv | Dentist | 2971 Vineville Ave, Macon, GA 31204-2833 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| 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 |
|---|---|---|---|---|
| 1598267239 | Folarera Olanike Ajose-adeogun | Dentist | 5005 Riverside Dr Unit A, Macon, GA 31210-1121 | 2018-03-07 |
| 1235683285 | John Felix Mash Jr. | Dentist | 128 Wolf Creek Dr N, Macon, GA 31210-9001 | 2016-08-08 |
| 1134568777 | John Norman Bowman Sr. | Dentist | 760 Tufthunter, Macon, GA 31210 | 2013-06-17 |
| 1801134135 | Valerie W Ambrose | Dentist | 160 Pierce Ave, Macon, GA 31204-2871 | 2013-01-22 |
| 1528314853 | Harvey Steven Zion | Dentist | 3300 Macon Tech Dr, Bldg J, Macon, GA 31206-3628 | 2012-07-24 |
| 1740543776 | Clark General Dentistry Center, P.C. | Dentist | 1918 Forsyth St, Macon, GA 31201-1144 | 2012-06-25 |
| 1134441652 | Loretto Madeleine Grier-cudjoe | Dentist | 1625 Jeffersonville Rd, Macon, GA 31217-4342 | 2010-02-25 |
| 1770741704 | Charles Edward Smaha | Dentist | 151 Pierce Ave, Macon, GA 31204-2821 | 2008-05-27 |
| 1447458856 | Paul Jason Mann | Dentist | 225 North Macon St., Macon, GA 31210 | 2007-07-06 |
| 1447451612 | Larry Edward Landers | Dentist | 155 College St, Suite 2, Macon, GA 31201-7206 | 2007-05-29 |
| Find all providers in MACON | ||||
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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.