TRINITY ORTHODONTICS OF FAYETTEVILLE LLC


Address: 719 Lanier Ave W Ste B, Fayetteville, GA 30214-7621
Phone: 4046966595

TRINITY ORTHODONTICS OF FAYETTEVILLE LLC (NPI# 1972972685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972972685
Entity Type Organization
Organization Name TRINITY ORTHODONTICS OF FAYETTEVILLE LLC
Practice Address 719 Lanier Ave W Ste B
Fayetteville
GA 30214-7621
Practice Telephone 4046966595
Mailing Telephone 4046966595
Enumeration Date 2015-09-23
Last Update Date 2015-09-23
Authorized Official Name DR. PAUL MCKOY (CFO)
Authorized Official Telephone 4046966595
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Office Location

Street Address 719 LANIER AVE W STE B
City FAYETTEVILLE
State GA
Zip Code 30214-7621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508316472 Transition Therapy Solutions Speech-Language Pathologist 719 Lanier Ave W Ste B, Fayetteville, GA 30214-7621 2016-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578001616 Jesse R Gray Dds Pa Dentist 3119 E Mission Blvd, Fayetteville, AR 72703-6617 2017-02-09
1386048189 Bethel Burris Oliver Pllc Dentist 2901 Zion Rd, Fayetteville, AR 72703-5007 2014-10-22
1083957351 Gateway Ventures LLC Dentist 3782 N Front St, Suite 1, Fayetteville, AR 72703-5128 2013-04-04
1780995449 Gregory J Stock Dentist 404 E Genesee St, Fayetteville, NY 13066-1503 2010-06-28
1003019845 Dana Thi Tang Dentist 2997 Hope Mills Rd Ste C, Fayetteville, NC 28306-8349 2007-06-08
1326256066 Eric J. Echols Dentist 102 Pavilion Pkwy, Suite 14, Fayetteville, GA 30214-4056 2007-05-18
1033325436 Darrin Storms D.d.s., C.a.g.s., P.a. Dentist 4102 N Mall Ave Ste 101, Fayetteville, AR 72703-4929 2007-05-15
1962623819 J. Spencer Boley Dentist 4501 W Wedge Dr, Fayetteville, AR 72704-7532 2007-05-01
1992864375 Michael W Granger Dentist 745 Bradley Dr, Fayetteville, GA 30214-2030 2006-12-08
1922166610 Bill Pickard, Dds, Ms, Pa Dentist 3533 N Shiloh Dr Ste 3, Fayetteville, AR 72703-5317 2006-12-05
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

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.

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