PEACH DENTAL CARE (NPI# 1942331772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942331772 |
| Entity Type | Organization |
| Organization Name | PEACH DENTAL CARE |
| Practice Address |
3596 W Hill St # B Clarkston GA 30021-1205 |
| Practice Telephone | 7702567555 |
| Mailing Telephone | 7702567555 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | THU VU (DDS) |
| Authorized Official Telephone | 7702567555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN012520 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 518280914A | 05 |
| Street Address |
3596 W HILL ST # B |
| City | CLARKSTON |
| State | GA |
| Zip Code | 30021-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578081808 | Marqueta A Coffer | Case Manager/Care Coordinator | 1380 Brockett Pl, Clarkston, GA 30021 | 2017-09-07 |
| 1063965143 | Bertukan Worku Demas | Pharmacist | 3671 Cobble Mill Ln, Clarkston, GA 30021 | 2016-07-26 |
| 1912341967 | Esther Kim | Family Medicine | 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 | 2013-04-22 |
| 1265739437 | Carepoint Home Care, LLC | In Home Supportive Care | 4122 E Ponce Deleon Avenue, Unit 9, Clarkston, GA 30021 | 2011-02-23 |
| 1790956530 | Thu D. Vu | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| 1740310630 | Gentle Dental | Dentist | 3595 Hill St., Clarkston, GA 30021 | 2007-03-07 |
| 1679528491 | Ojoru Osunkoya | Pediatrics | 4112 E. Ponce De Leon, Clarkston, GA 30021 | 2006-05-23 |
| 1700849825 | Regina Allen Hardin | Pediatrics | 4112 E. Ponce De Leon Avenue, Clarkston, GA 30021 | 2006-04-10 |
| 1831514538 | Caudelle & Wilson Eye Care LLC | Optometrist | 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30021 | 2014-03-04 |
| 1881865624 | Vanessa Phan | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| Find all providers in zip 30021 | ||||
| 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 |
|---|---|---|---|---|
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
| 1740310630 | Gentle Dental | Dentist | 3595 Hill St., Clarkston, GA 30021 | 2007-03-07 |
| 1215083613 | Rasha Safaa Kajy | Dentist | 10435 Ortonville Rd Ste B, Clarkston, MI 48348-1979 | 2007-01-26 |
| 1639234222 | Mary Theresa Bauer | Dentist | 5760 Clarkston Road, Suite A, Clarkston, MI 48348 | 2006-12-26 |
| 1174624746 | Randall William Baetz | Dentist | 7150 Dixie Hwy, Clarkston, MI 48346-2068 | 2006-09-26 |
| 1679672224 | Reid Alan Folsom | Dentist | 1336 5th St, Clarkston, WA 99403-3314 | 2006-09-21 |
| 1881644243 | Thomas G. Santarossa Dds PC | Dentist | 7210 N Main St, Suite 104, Clarkston, MI 48346-1575 | 2006-05-10 |
| 1962471631 | David W. Regiani, Dds, PC | Dentist | 10435 Ortonville Road - Suite B, Clarkston, MI 48348 | 2006-03-16 |
| 1831161041 | Robert Bruce Bice | Dentist | 55 South Main, Clarkston, MI 48346-1527 | 2006-02-02 |
| Find all providers in CLARKSTON | ||||
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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.