DENTAL PROFESSIONALS OF GEORGIA, P.C. (NPI# 1881150498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881150498 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF GEORGIA, P.C. |
| Practice Address |
645 Beaver Ruin Rd Nw Ste A Lilburn GA 30047-3471 |
| Practice Telephone | 7703819320 |
| Mailing Telephone | 7703819320 |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |
| Authorized Official Name | BRITTANY HOWARD (CRED COORDINATOR) |
| Authorized Official Telephone | 2175408946 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180436 | Dental Professionals of Georgia, P.C. | Dentist | 316 W Main St, Thomaston, GA 30286-3558 | 2020-06-26 |
| 1528694080 | Dental Professionals of Georgia, P.C. | Dentist | 316 W Main St, Thomaston, GA 30286-3558 | 2020-03-17 |
| 1235674227 | Dental Professionals of Georgia, P.C. | Dentist | 116 Calumet Center Rd, Lagrange, GA 30241-6703 | 2016-12-29 |
| 1417394958 | Dental Professionals of Georgia, P.C. | Dentist | 436 Warwoman Rd, Clayton, GA 30525-5105 | 2013-05-23 |
| 1235475526 | Dental Professionals of Georgia, P.C. | Dentist | 600 Galleria Pkwy Se, Suite 800, Atlanta, GA 30339-5994 | 2012-12-14 |
| Street Address |
645 BEAVER RUIN RD NW STE A |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| 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 |
|---|---|---|---|---|
| 1124688981 | Stuart Chastain Knight | Dentist | 5400 Lawrenceville Hwy Nw Ste D, Lilburn, GA 30047-5956 | 2019-06-14 |
| 1609317833 | Haylee Humes | Dentist | 956 Killian Hill Rd Sw Ste D, Lilburn, GA 30047-8977 | 2017-03-20 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1700292802 | John Ryan Gilleland | Dentist | 4150 Five Forks Trickum Rd Sw, Lilburn, GA 30047-3130 | 2014-07-09 |
| 1912349994 | Jigar Ashok Desai | Dentist | 919 Pine Cove Dr, Lilburn, GA 30047-1401 | 2013-07-19 |
| 1811148406 | Kenneth Arthur Mcmillan | Dentist | 2790 Gardenwood Ct Sw, Lilburn, GA 30047-4784 | 2008-10-01 |
| 1114189891 | Rishi R Kapur | Dentist | 4150 Five Forks Trickum Rd, Suite 1, Lilburn, GA 30047 | 2008-06-25 |
| 1053585646 | Letoiya Marie Carter-robinson | Dentist | 609 Beaver Ruin Rd Nw Ste B, Lilburn, GA 30047-3401 | 2008-04-15 |
| 1053450726 | Harry W Mccool | Dentist | 645 A Beaver Ruin Rd, Lilburn, GA 30047 | 2007-02-06 |
| 1548337967 | Juan J Solano | Dentist | 950 Indian Trail Lilburn Rd Nw, 3g, Lilburn, GA 30047-6867 | 2006-11-29 |
| Find all providers in LILBURN | ||||
Please comment or provide details below to improve the information on DENTAL PROFESSIONALS OF GEORGIA, P.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.