PEDIATRIC DENTISTRY OF SAVANNAH, LLC (NPI# 1972882900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972882900 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY OF SAVANNAH, LLC |
| Other Organization Name | PEDIATRIC DENTISTRY OF SAVANNAH |
| Practice Address |
310 Eisenhower Dr Building #6 Savannah GA 31406-2632 |
| Practice Telephone | 9123494021 |
| Practice Fax Number | 9123495717 |
| Mailing Telephone | 9123494021 |
| Mailing Fax Number | 9123495717 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |
| Authorized Official Name | DR. CARA CHRISTINA DELEON (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Telephone | 9123494021 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN013749 | GA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Pediatric Dentistry of Savannah | Doing Business As Name - Organization |
| Street Address |
310 EISENHOWER DR BUILDING #6 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864463 | Savannah Outpatient Foot and Ankle Surgery Center, LLC | Clinic/Center | 310 Eisenhower Dr, Suite 7b, Savannah, GA 31406-2632 | 2005-07-13 |
| 1760966295 | 310habershamdental LLC | Dentist | 310 Eisenhower Dr, Building 1, Savannah, GA 31406 | 2018-09-20 |
| 1649760687 | Rebekah Wooten | Dentist | 310 Eisenhower Dr, Savannah, GA 31406-2632 | 2018-05-15 |
| 1851796908 | Savannah F&a Asc LLC | Clinic/Center | 310 Eisenhower Dr, Building 7, Savannah, GA 31406-2632 | 2014-10-31 |
| 1871995779 | Sandra L. Jones | Nurse Practitioner | 310 Eisenhower Dr, Bldg 16, Savannah, GA 31406-2632 | 2014-09-23 |
| 1437495272 | National Disease Management Center, Inc | Internal Medicine | 310 Eisenhower Dr, Building # 5, Savannah, GA 31406-2632 | 2012-12-26 |
| 1578810495 | Millicent Treben Jones | Chiropractor | 310 Eisenhower Dr, Building 12 Suite C, Savannah, GA 31406-2632 | 2012-08-09 |
| 1891053393 | Integrated Medical Institute, LLC | Chiropractor | 310 Eisenhower Dr, Building 12 Suite C, Savannah, GA 31406-2632 | 2012-05-03 |
| 1629369947 | John Charles O'neill Iv | Dentist | 310 Eisenhower Dr, Suite #4, Savannah, GA 31406-2632 | 2011-04-20 |
| 1669791752 | Donna Knight | Physician Assistant | 310 Eisenhower Dr, Suite 5, Savannah, GA 31406-2632 | 2010-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629369525 | Krista Anne Cox | Dentist | 4849 Paulsen St Ste 101, Savannah, GA 31405-4424 | 2011-04-26 |
| 1063745479 | Loy Adam Hagan | Dentist | 5 Planters Lane, Savannah, GA 31411 | 2009-09-16 |
| 1811161409 | Simply Childrens Dentistry Inc | Dentist | 613 Stephenson Avenue, Suite 201, Savannah, GA 31405 | 2008-04-15 |
| 1730172214 | H. Byron Colley IIi | Dentist | 5901 Abercorn St, Savannah, GA 31405-5509 | 2005-08-30 |
| 1699208264 | Morgan Boaen Smith | Dentist | 4849 Paulsen St Ste 101, Savannah, GA 31405-4424 | 2017-04-10 |
| 1659819613 | Dogwood Pediatric Dentistry of Savannah | Dentist | 4849 Paulsen St, Suite 101, Savannah, GA 31405-4423 | 2017-02-09 |
| 1861847022 | Erika Caroline Finch | Dentist | 6602 Abercorn St Ste 101, Savannah, GA 31405-5849 | 2016-04-25 |
| 1710278403 | Phillip Michael Strickland | Dentist | 4849 Paulsen St Ste 101, Savannah, GA 31405-4424 | 2011-04-28 |
| 1093940231 | Brent Edward Herrin | Dentist | 5901 Abercorn St, Savannah, GA 31405-5509 | 2009-05-18 |
| 1992926463 | Morris Douglas Alexander | Dentist | 20 W Main St, Savannah, TN 38372-2334 | 2007-05-01 |
| Find all providers in SAVANNAH | ||||
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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.