CHILDREN AND TEEN DENTAL GROUP, PC (NPI# 1972991248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972991248 |
Entity Type | Organization |
Organization Name | CHILDREN AND TEEN DENTAL GROUP, PC |
Practice Address |
285 Elm St Cumming GA 30040-8233 |
Practice Telephone | 7707444581 |
Mailing Telephone | 7707444581 |
Enumeration Date | 2015-01-08 |
Last Update Date | 2015-01-08 |
Authorized Official Name | DR. DOUGLAS G. HISER (ORTHODONTIST/OWNER) |
Authorized Official Telephone | 7707444581 |
Authorized Official Credential | DMD MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
011988 | GA | Dental Providers |
Street Address |
285 ELM ST |
City | CUMMING |
State | GA |
Zip Code | 30040-8233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598848863 | James Woodrow Lamb IIi | Dentist | 285 Elm St, Ste. 103, Cumming, GA 30040-8233 | 2006-10-23 |
1780135665 | Chattahoochee Family Orthodontics | Dentist | 285 Elm St, Suite 101, Cumming, GA 30040-8233 | 2016-10-17 |
1659611184 | Christina Mckellar | Dentist | 285 Elm St, Ste 301, Cumming, GA 30040-8233 | 2013-02-20 |
1467646729 | Douglas Garland Hiser | Dentist | 285 Elm St, Suite 101, Cumming, GA 30040-8233 | 2007-08-30 |
1346462801 | Renee L Waters, Md PC | Pediatrics | 285 Elm St, Suite 102, Cumming, GA 30040-8233 | 2007-05-03 |
1295806461 | Kenneth Robert Wyatt | Dentist | 285 Elm St, Suite 200, Cumming, GA 30040-8233 | 2006-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
Find all providers in zip 30040 |
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 |
---|---|---|---|---|
1972010502 | Cumming Pediatric Dentistry & Orthodontics, LLC | Dentist | 3275 Market Place Blvd Ste 150, Cumming, GA 30041-7980 | 2018-01-04 |
1144588997 | Dhruti J Patel | Dentist | 2360 Trammel Estates Dr, Cumming, GA 30041-8425 | 2012-04-30 |
1356580633 | R Jason Neil Bongiovi Dmd PC | Dentist | 3810 Windemere Parkway, Ste 502, Cumming, GA 30041 | 2009-02-11 |
1518026558 | Childrens Dentistry of Cumming | Dentist | 285 Elm Street, Ste 101, Cumming, GA 30040 | 2006-12-06 |
1891873758 | Jyoti Desh Sharma | Dentist | 1240 Buford Rd, Suite 150, Cumming, GA 30041-2731 | 2006-11-01 |
1659611184 | Christina Mckellar | Dentist | 285 Elm St, Ste 301, Cumming, GA 30040-8233 | 2013-02-20 |
1407128663 | Smiles for Kids LLC | Dentist | 1240 Buford Rd, Suite 150, Cumming, GA 30041-2731 | 2012-02-03 |
1306147459 | Dentistry for Children of Cumming Cd, LLC | Dentist | 407 E Maple St, Ste 109, Cumming, GA 30040-2635 | 2010-11-05 |
1487854808 | John Jason Haffner | Dentist | 3480 Keith Bridge Rd, Suite A-4, Cumming, GA 30041-5568 | 2007-07-24 |
1538276597 | Michael Shawn Mcmoran | Dentist | 5830 Bond St, Suite 350, Cumming, GA 30040-0307 | 2006-08-24 |
Find all providers in CUMMING |
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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.