PEDOZONE, LLC (NPI# 1952812737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952812737 |
| Entity Type | Organization |
| Organization Name | PEDOZONE, LLC |
| Practice Address |
8879 Dallas Acworth Hwy Dallas GA 30132-7905 |
| Mailing Address |
3104 Creekside Village Dr Nw Ste 401 Kennesaw GA 30144-2393 |
| Practice Telephone | 7709743633 |
| Practice Fax Number | 7709743660 |
| Mailing Telephone | 7709743633 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MRS. CRYSTAL DEANN SMITH (TREATMENT COORDINATOR) |
| Authorized Official Telephone | 7709743633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DNO14556 | GA | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12926 Highway 92, Woodstock, GA 301885195 | 7707385437 |
| Street Address |
8879 DALLAS ACWORTH HWY |
| City | DALLAS |
| State | GA |
| Zip Code | 30132-7905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316053234 | Joseph Mathew Dunn | Chiropractor | 8879 Dallas Acworth Hwy, Suite # 120, Dallas, GA 30132 | 2006-08-22 |
| 1205024528 | Dunn's Family Chiropractic, P.C. | Chiropractor | 8879 Dallas Acworth Hwy, Suite #120, Dallas, GA 30132-7905 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205398526 | Away Lice Removal Specialists, LLC | Homeopath | 531 Hardee Street, Dallas, GA 30132 | 2019-04-04 |
| 1306313184 | Jessica Ramskogler | Counselor | 168 N. Johnson St, Suite 304, Dallas, GA 30132 | 2018-10-30 |
| 1912489337 | Michelle Jennifer Bergman | Lactation Consultant, Non-RN | 549 Waburn Walk, Dallas, GA 30132 | 2018-09-01 |
| 1457870099 | Dynamic Xray Solutions LLC | Clinic/Center | 77 Wellsey Way, Dallas, GA 30132 | 2017-09-14 |
| 1528438413 | Georgia Dental Professionals, PC | Dentist | 8709 Dallas Acworth Hwy, Dallas, GA 30132 | 2015-10-05 |
| 1013256130 | Paulding Auto Sales | Private Vehicle | 210 E Memorial Dr, Dallas, GA 30132 | 2013-02-08 |
| 1255613410 | Matthew Lerandal Talley | Chiropractor | 1305 Cedarcrest Road Suite#111, Dallas, GA 30132 | 2011-09-14 |
| 1003109422 | Ashlyn Drugs | Pharmacy | 1160 Old Harris Rd, Dallas, GA 30132 | 2011-05-18 |
| 1285942086 | Premier Hearing and Health Services Inc | Clinic/Center | 300 W I Parkway Ste 207, Premier Hearing and Health Services Inc, Dallas, GA 30132 | 2010-09-15 |
| 1578878963 | Karen Parris | Speech-Language Pathologist | 283 Red Hawk Way, Dallas, GA 30132 | 2010-08-10 |
| Find all providers in zip 30132 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230302 | Mi Dentista | Clinic/Center | 3101 W Davis St, Dallas, TX 75211-2921 | 2020-09-22 |
| 1639780083 | Dental Snoring and Apnea Clinic LLC | Clinic/Center | 5477 Glen Lakes Dr Ste 130, Dallas, TX 75231-0967 | 2020-08-10 |
| 1992323257 | Duncanville Dental Pllc | Clinic/Center | 5409 N Jim Miller Rd Ste 105, Dallas, TX 75227-1500 | 2020-07-13 |
| 1427677541 | Mh Dental Group, LLC | Clinic/Center | 1305 Cedarcrest Rd Ste 115, Dallas, GA 30132-8201 | 2020-04-09 |
| 1255961843 | Albatross 46 LLC | Clinic/Center | 4231 Sigma Rd Ste 100, Dallas, TX 75244-4471 | 2020-01-22 |
| 1376187765 | Eckert Dental Pllc | Clinic/Center | 2509 S Hampton Rd Ste 100, Dallas, TX 75224-1623 | 2019-10-30 |
| 1295376788 | Michael J Neeley Dds Inc | Clinic/Center | 9301 N Central Expy Ste 585, Dallas, TX 75231-0811 | 2019-10-05 |
| 1730730813 | Clock Cycle Dental | Clinic/Center | 8550 Plano Rd Ste 104, Dallas, TX 75238-4824 | 2019-09-20 |
| 1396301131 | Atrium Modern Dental | Clinic/Center | 9401 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75243-4548 | 2019-05-17 |
| 1558835553 | Lu Dental Incorporated | Clinic/Center | 6550 Shady Brook Ln Apt 822, Dallas, TX 75206-1212 | 2019-01-14 |
| Find all providers in DALLAS | ||||
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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.