EVEREST DENTAL LLC (NPI# 1942748751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942748751 |
| Entity Type | Organization |
| Organization Name | EVEREST DENTAL LLC |
| Other Organization Name | ASPEN DENTAL |
| Practice Address |
1955 N Cobb Pkwy Nw Ste 110 Kennesaw GA 30152-4503 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 7707998964 |
| Practice Fax Number | 6788885809 |
| Mailing Telephone | 3154546000 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | JENNIFER LA DUC (PROVIDER RELATIONS) |
| Authorized Official Telephone | 3154546000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Aspen Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306364252 | Everest Dental LLC | Clinic/Center | 6326 Rucker Rd Ste B, Indianapolis, IN 46220-4861 | 2017-08-30 |
| 1336376185 | Everest Dental LLC | Dentist | 9892 Bustleton Ave, Suite 302, Philadelphia, PA 19115-2184 | 2009-06-19 |
| Street Address |
1955 N COBB PKWY NW STE 110 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| 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 |
|---|---|---|---|---|
| 1265059364 | Abboss Sharifzadeh | Dentist | 4090 Jiles Rd Nw, Kennesaw, GA 30144-1105 | 2020-07-06 |
| 1942724067 | Suhasini Arun | Dentist | 1815 Old 41 Hwy Nw Ste 310, Kennesaw, GA 30152-4427 | 2017-07-31 |
| 1891148441 | Stephanie Fransoso | Dentist | 1610 Ridenour Blvd Nw Ste 103, Kennesaw, GA 30152-4486 | 2016-07-19 |
| 1447604723 | Jim Nasim, Dmd, Pa | Dentist | 112 Townpark Dr Nw Ste 100, Kennesaw, GA 30144-3733 | 2016-04-22 |
| 1629444559 | Carolina Dental Docs On-the-go, LLC | Dentist | 112 Townpark Dr Nw, Suite 100, Kennesaw, GA 30144-3731 | 2015-08-14 |
| 1487999165 | Chirag Patel | Dentist | 3525 Busbee Dr Nw Ste 200, Great Expressions Dental Centers, Kennesaw, GA 30144-5677 | 2012-12-06 |
| 1952573883 | Robert Earl Poindexter Jr. | Dentist | 1050 Shiloh Rd, Suite 206, Kennesaw, GA 30144 | 2008-04-01 |
| 1700057478 | Kelly Vaughn Dds PC | Dentist | 1610 Ridenour Blvd Nw, Suite 103, Kennesaw, GA 30152-4484 | 2008-03-20 |
| 1609909522 | Dental One Associates (kennesaw) LLC | Dentist | 2616 George Busbee Pkwy Nw, Kennesaw, GA 30144-4939 | 2007-03-13 |
| 1942368923 | Lan Thanh Vo | Dentist | 600 Chastain Rd Nw, Ste 422, Kennesaw, GA 30144-3004 | 2006-12-04 |
| Find all providers in KENNESAW | ||||
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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.