GEORGIA DENTAL PROFESSIONALS, PC (NPI# 1972165207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972165207 |
| Entity Type | Organization |
| Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
| Other Organization Name | DENTAL CARE OF BONAIRE |
| Practice Address |
516 Ga Highway 247 S Bonaire GA 31005-3865 |
| Practice Telephone | 4782732562 |
| Practice Fax Number | 4785514152 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care of Bonaire | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098214 | Georgia Dental Professionals, PC | Dentist | 3000 Chapel Hill Rd Ste 104, Douglasville, GA 30135-1841 | 2020-09-21 |
| 1063028769 | Georgia Dental Professionals, PC | Dentist | 3364 Hamilton Mill Rd, Buford, GA 30519-4005 | 2020-09-17 |
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1780220194 | Georgia Dental Professionals, PC | Dentist | 4355 Towne Lake Pkwy, Woodstock, GA 30189-8150 | 2019-11-20 |
| 1831746999 | Georgia Dental Professionals, PC | Dentist | 1207 Highway 74 S, Peachtree City, GA 30269-3078 | 2019-08-23 |
| 1710546148 | Georgia Dental Professionals, PC | Dentist | 8022 Cumming Hwy, Canton, GA 30115-9337 | 2019-06-10 |
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| 1417422007 | Georgia Dental Professionals, PC | Dentist | 6759 Hickory Rd, Woodstock, GA 30188-2019 | 2018-10-10 |
| Street Address |
516 GA HIGHWAY 247 S |
| City | BONAIRE |
| State | GA |
| Zip Code | 31005-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724895 | Yosef Anday | Dentist | 516 Ga Highway 247 S, Bonaire, GA 31005-3865 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669010211 | Christine Anne Hasbrouck | Nurse Practitioner | 257 Southfiled Court, Bonaire, GA 31005 | 2019-12-13 |
| 1518478023 | Cathleen Ann Cleary | Psychiatry & Neurology | 106 Julee Emilyn Drive, Bonaire, GA 31005 | 2017-10-24 |
| 1780107060 | Laura Lenhard Frawley | Nurse Practitioner | 220 Cardiff Court, Bonaire, GA 31005 | 2017-07-19 |
| 1891156758 | Southern Bridge Counseling, LLC | Community/Behavioral Health | 3100 Moody Rd, Ste. A, Bonaire, GA 31005 | 2016-03-18 |
| 1104203926 | Georgia Chiropractic and Wellness LLC | Chiropractor | 100 Stillwater Circle, Suite C, Bonaire, GA 31005 | 2015-04-30 |
| 1891197067 | Ashlee Zackeru Chafin | Nurse Anesthetist, Certified Registered | 706 Summer Ct, Bonaire, GA 31005 | 2014-09-19 |
| 1699199018 | Michelle Marie Allen | Nurse Practitioner | 774 Ga Hwy 96, Bonaire, GA 31005 | 2014-02-05 |
| 1437597168 | Lana Alden Dellinger | Physical Therapist | 101 Stillwater Circle, Bonaire, GA 31005 | 2013-06-04 |
| 1215154810 | Joseph F Mcdaniel | Pharmacist | 785 Hwy 96, Bonaire, GA 31005 | 2007-04-18 |
| 1932229242 | Marla Winge Baltz | Pharmacist | 785 Hwy. 96, Bonaire, GA 31005 | 2007-03-30 |
| Find all providers in zip 31005 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659028 | My Emergency Dental Ga, LLC | Dentist | 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 | 2020-11-02 |
| 1417556630 | Feyishayo Dahunsi | Dentist | 50 Main Street Market Pl Se Ste 500, Cartersville, GA 30121-3312 | 2020-10-19 |
| 1568079143 | Bimala Gharti | Dentist | 7310 Village Creek Trce, Atlanta, GA 30328-6763 | 2020-09-28 |
| 1760098214 | Georgia Dental Professionals, PC | Dentist | 3000 Chapel Hill Rd Ste 104, Douglasville, GA 30135-1841 | 2020-09-21 |
| 1063028769 | Georgia Dental Professionals, PC | Dentist | 3364 Hamilton Mill Rd, Buford, GA 30519-4005 | 2020-09-17 |
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1699385062 | Hetal Trivedi | Dentist | 930 Spring St Nw Unit 915-a, Atlanta, GA 30309-3816 | 2020-07-31 |
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1770101131 | Fatima Hassan | Dentist | 722 Bonnie Oaks Ln, Evans, GA 30809-6114 | 2020-07-11 |
| Find all providers with the same taxonomy | ||||
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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.