MARK SHURETT DDS PC (NPI# 1831363670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831363670 |
| Entity Type | Organization |
| Organization Name | MARK SHURETT DDS PC |
| Other Organization Name | HELP A CHILD SMILE - URBAN |
| Practice Address |
1806 Over Lake Dr Se Conyers GA 30013-1745 |
| Practice Telephone | 7707607900 |
| Practice Fax Number | 7707601375 |
| Mailing Telephone | 7707607900 |
| Mailing Fax Number | 7707601375 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |
| Authorized Official Name | JOSEPH P RHODES (VICE PRESIDENT) |
| Authorized Official Telephone | 7707607900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Help A Child Smile - Urban | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679551790 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2006-01-09 |
| 1558535393 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| Street Address |
1806 OVER LAKE DR SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679551790 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2006-01-09 |
| 1821511056 | Bhagwati Bhakri | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2017-07-19 |
| 1699055608 | Edileia Porcaro | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2011-08-22 |
| 1841506094 | Sukari J Mcmiller | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2010-08-26 |
| 1760634224 | Elizabeth Check | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-10-15 |
| 1558535393 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| 1295812857 | Jaishankar Thirumalai | Dentist | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808773 | All Test Services | Clinic/Center | 575 Sigman Rd Ne, Conyers, GA 30013-1311 | 2020-07-07 |
| 1780958835 | Proactive Healthcare Solutions, LLC | Clinic/Center | 2434 Wall St Se, Suite A, Conyers, GA 30013-6760 | 2012-03-06 |
| 1992997571 | American Current Care Pa | Clinic/Center | 1157 West Ave, Suite B, Conyers, GA 30012 | 2007-08-16 |
| 1720536584 | Atlanta Neuro Care | Clinic/Center | 1372 Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2016-09-21 |
| 1225321508 | Southern Cross Surgery Center, LLC | Clinic/Center | 1301 Sigman Rd Ne, Suite 120, Conyers, GA 30012-3812 | 2011-05-19 |
| 1780989913 | Rodney A West, Dc, LLC | Clinic/Center | 921 Commercial St Ne, Conyers, GA 30012-4512 | 2011-01-19 |
| 1558535393 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| 1497928188 | Rediclinic Us, LLC | Clinic/Center | 1436 Dogwood Dr Se, Conyers, GA 30013-5098 | 2008-04-02 |
| 1710946371 | Medical Centre of Conyers | Clinic/Center | 1445 Old Mcdonough Hwy Se Ste E, Conyers, GA 30094-5977 | 2006-03-22 |
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| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
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| 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.