ATLANTA DENTAL FITNESS


Address: 2296 Henderson Mill Rd Ne Ste 109, Atlanta, GA 30345-2739
Phone: 6785785388

ATLANTA DENTAL FITNESS (NPI# 1891336830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891336830
Entity Type Organization
Organization Name ATLANTA DENTAL FITNESS
Practice Address 2296 Henderson Mill Rd Ne Ste 109
Atlanta
GA 30345-2739
Practice Telephone 6785785388
Practice Fax Number 4043935128
Mailing Telephone 6785785388
Mailing Fax Number 4043935128
Enumeration Date 2019-10-01
Last Update Date 2019-10-01
Authorized Official Name PETER V VANSTROM (DOCTOR)
Authorized Official Telephone 6785785388
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 2296 HENDERSON MILL RD NE STE 109
City ATLANTA
State GA
Zip Code 30345-2739

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NPI Name Taxonomy Address Enumeration
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1215375209 Shakeia Cowan Counselor 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 2013-06-12
1154673259 Phyllis Carrera Counselor 1788-b Century Blvd, Atlanta, GA 30345 2012-10-12
1417216128 Procare Pharmacy, LLC Pharmacy 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 2012-05-15
1962794479 Nicole Renee Buttery Behavioral Analyst 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 2011-05-03
1972839371 Barbara Lopes Cardozo Psychiatry & Neurology 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 2009-10-20
1568615193 Zouheir A Shama Sr. Surgery 2536 Cosmos Drive N.e., Atlanta, GA 30345 2008-10-28
1396930558 Munir Kashlan Dentist 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 2007-09-11
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245881515 Wayne G Suway D.d.s., PC Clinic/Center 1820 The Exchange Se Ste 600, Atlanta, GA 30339-2083 2019-09-26
1033699921 Meridian Education Resource Group, Inc. Clinic/Center 65 Rogers St Ne, Atlanta, GA 30317-1018 2018-08-20
1174979082 Greenbriar Dental Care, P.C. Clinic/Center 2841 Greenbriar Pkwy Sw Ste X306, Atlanta, GA 30331-2635 2016-05-10
1164815254 Pain Away Dentistry, LLC Clinic/Center 5626 Fulton Industrial Blvd Sw, Ste 110, Atlanta, GA 30336-2641 2015-03-12
1578809919 Georgia Dental Care Inc Clinic/Center 5025 Winters Chapel Rd, Suite F, Atlanta, GA 30360-1700 2012-12-12
1770834954 Edgewood Dental Center Clinic/Center 545 Edgewood Ave Se, Atlanta, GA 30312-1936 2012-09-27
1871853366 International Harvest Dentistry Clinic/Center 5555 Peachtree Dunwoody Rd Ne Ste G73, Atlanta, GA 30342-1787 2012-05-18
1306104260 Powell and Associates Dds, PC Clinic/Center 2800 Spring Road, Suite F-2, Atlanta, GA 30339-3092 2012-04-30
1679782585 J. Stephen Buckler, Dmd, PC Clinic/Center 3632 Chamblee Tucker Rd, Atlanta, GA 30341-4418 2007-05-21
1013515709 Piedmont Periodontics Atlanta LLC Clinic/Center 222 12th St Ne Ste 1b, Atlanta, GA 30309-4009 2020-10-14
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Competitor

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City ATLANTA
Zip Code 30345

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Dataset Information

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.

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