LA'QUINTA SHARELLE ELIM (NPI# 1871079376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871079376 |
| Entity Type | Individual |
| Full Name | LA'QUINTA SHARELLE ELIM |
| Credential | DMD |
| Practice Address |
1631 Gordon Hwy Ste 22 Augusta GA 30906-2230 |
| Practice Telephone | 7067909302 |
| Practice Fax Number | 7067909303 |
| Mailing Telephone | 7067909302 |
| Mailing Fax Number | 7067909303 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN015723 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA DENTAL BOARD | DN015723 | 01 |
| Street Address |
1631 GORDON HWY STE 22 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730633959 | Carol A. Patel | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2016-08-04 |
| 1346898293 | Bridgeport River Dental PC | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2019-09-03 |
| 1356993331 | Jessica A George | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2019-07-10 |
| 1790213700 | Phuong Quynh Ngoc Spicer | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2017-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| 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 |
|---|---|---|---|---|
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1356848022 | Olubusola Olaoluwa Olaseinde | Dentist | 2122 Swindon Dr, Augusta, GA 30909-6912 | 2018-04-10 |
| 1992172407 | Jeremy Richard Edwards | Dentist | 3208 Crane Ferry Rd, Augusta, GA 30907-3771 | 2015-09-01 |
| 1346616810 | Michael Shane Baura | Dentist | 1 Freedom Way # 233u, Augusta, GA 30904-6258 | 2015-08-19 |
| 1972912301 | Matthew Lee Andrews | Dentist | The Dental College of Georgia 1120 15th Street Gc 5110, Augusta, GA 30912-0001 | 2014-08-11 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1558797761 | One Smile Away Inc | Dentist | 4159 Elders Dr, Augusta, GA 30909-9145 | 2013-09-19 |
| 1285986067 | Tanya Lynn Shores | Dentist | 1210 Geore C. Wilson Dr., Augusta, GA 30909-4501 | 2012-10-04 |
| 1073864963 | Matthew Ross Anderson | Dentist | 1120 15th St # Gc5110, Augusta, GA 30912-0004 | 2012-10-02 |
| 1699099853 | Eric J Sterett | Dentist | 2437 Lumpkin Rd, Augusta, GA 30906-3000 | 2010-03-17 |
| Find all providers in AUGUSTA | ||||
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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.