DELORES HUBBARD D D S L L C (NPI# 1801060629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801060629 |
| Entity Type | Organization |
| Organization Name | DELORES HUBBARD D D S L L C |
| Practice Address |
1784 Washington Ave East Point GA 30344-4148 |
| Practice Telephone | 4047668559 |
| Practice Fax Number | 4047667742 |
| Mailing Telephone | 4047668559 |
| Mailing Fax Number | 4047667742 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |
| Authorized Official Name | DR. DELORES HUBABRD (OWNER/DENTIST) |
| Authorized Official Telephone | 4047668559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9437 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00220712C | 05 |
| Street Address |
1784 WASHINGTON AVE |
| City | EAST POINT |
| State | GA |
| Zip Code | 30344-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
| 1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
| 1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
| 1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
| 1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
| 1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
| Find all providers in zip 30344 | ||||
| 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 |
|---|---|---|---|---|
| 1518342914 | Asfaw Ambaye | Dentist | 3650 Marketplace Blvd Ste 920, East Point, GA 30344-5742 | 2015-07-27 |
| 1821499542 | Kisha Carter Dmd PC | Dentist | 854 Cleveland Ave Ste 200, East Point, GA 30344-2920 | 2014-09-12 |
| 1811266406 | Martin R. Minix D.m.d, P.s.c. | Dentist | 253 Hager Br, East Point, KY 41216-8766 | 2011-12-28 |
| 1306004288 | Kisha Nicole Carter | Dentist | 854 Cleveland Ave, Suite 200, East Point, GA 30344-2920 | 2008-05-28 |
| 1497800171 | Martin Russell Minix | Dentist | 253 Hager Branch, East Point, KY 41216 | 2007-01-24 |
| 1891715421 | Caleb Simmons | Dentist | 1871 Washington Ave, East Point, GA 30344-4128 | 2006-07-19 |
| 1811291768 | Clement C Alleyne | Dentist | 967 Cleveland Ave, East Point, GA 30344-6717 | 2011-01-07 |
| 1487816328 | J. D Murray Dds & Associates P.c | Dentist | 967 Cleveland Ave, East Point, GA 30344-6717 | 2008-07-01 |
| 1609918747 | Lennard Cason | Dentist | 1871 Washington Ave, Suite 1, East Point, GA 30344-4128 | 2007-02-13 |
| 1780736819 | Gabrielle D. Nguyen | Dentist | 1029 Cleveland Ave, East Point, GA 30344-6719 | 2007-01-17 |
| Find all providers in EAST POINT | ||||
| City | EAST POINT |
| Zip Code | 30344 |
Please comment or provide details below to improve the information on DELORES HUBBARD D D S L L C.
| 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.