COSMETIC AND RESTORATIVE DENTISTRY (NPI# 1841355336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841355336 |
Entity Type | Organization |
Organization Name | COSMETIC AND RESTORATIVE DENTISTRY |
Practice Address |
1175 Oglethorpe Ave Athens GA 30606-2129 |
Practice Telephone | 7062272502 |
Practice Fax Number | 7062270207 |
Mailing Telephone | 7062272502 |
Mailing Fax Number | 7062270207 |
Enumeration Date | 2006-12-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. ROSANNA MASCIADRI (OWNER) |
Authorized Official Telephone | 7062272502 |
Authorized Official Credential | D.M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
BM3609596 | GA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00723401A | 05 | |
GA | UNITED CONCORDIA | 983777 | 01 |
Street Address |
1175 OGLETHORPE AVE |
City | ATHENS |
State | GA |
Zip Code | 30606-2129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265595193 | Abigail Owens | Speech-Language Pathologist | 1175 Oglethorpe Ave, Suite B, Athens, GA 30606-2129 | 2006-12-19 |
1699178566 | Abc Pediatric Therapy Partners, Inc. | Speech-Language Pathologist | 1175 Oglethorpe Ave, Suite B, Athens, GA 30606-2129 | 2014-10-06 |
1427332170 | Caroline Elizabeth Decelles | Speech-Language Pathologist | 1175 Oglethorpe Ave, Ste B, Athens, GA 30606-2129 | 2011-09-29 |
1215219761 | Lara Ansley Crisler | Speech-Language Pathologist | 1175 Oglethorpe Ave, Ste. B, Athens, GA 30606-2129 | 2011-09-11 |
1033443569 | Lawrence Dwayne Cumbus | Speech-Language Pathologist | 1175 Oglethorpe Ave, Ste B, Athens, GA 30606-2129 | 2009-10-01 |
1598958423 | Susan Hogan | Speech-Language Pathologist | 1175 Oglethorpe Ave, B, Athens, GA 30606-2129 | 2007-08-23 |
1215086418 | Marina Bilbao Canup | Speech-Language Pathologist | 1175 Oglethorpe Ave, Suite B, Athens, GA 30606-2129 | 2007-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
Find all providers in zip 30606 |
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 |
---|---|---|---|---|
1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
1821583782 | Tyler Keith Lipham | Dentist | 1805 Epps Bridge Pkwy Ste 101, Athens, GA 30606-6145 | 2018-06-24 |
1619460284 | Grant Talbert | Dentist | 105 Hine St S, Athens, AL 35611-2323 | 2018-06-08 |
1225393465 | Alabama Dental Professionals PC | Dentist | 220 D French Farms Blvd, Suite D, Athens, AL 35611 | 2012-07-12 |
1578858403 | Bradley Kyle Stewart | Dentist | 501 Decatur Pike, Athens, TN 37303-2513 | 2011-06-20 |
1083917850 | Complete Dental Center Athens | Dentist | 607 E Hobbs St, Athens, AL 35611-2150 | 2010-12-16 |
1013249242 | Alabama Dental Professionals, PC | Dentist | 110 College St., Suite D, Athens, AL 35611 | 2010-02-14 |
1033448055 | Thomas H Stillwell | Dentist | 899 Congress Pkwy N, Athens, TN 37303-1659 | 2009-12-22 |
1124258470 | Thomas Adam Cole | Dentist | 22051 Us Highway 72, Suite F, Athens, AL 35613-2664 | 2009-07-21 |
1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
Find all providers in ATHENS |
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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.