SUWANEE STATION DENTISTRY, LLC (NPI# 1043530686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043530686 |
| Entity Type | Organization |
| Organization Name | SUWANEE STATION DENTISTRY, LLC |
| Practice Address |
1300 Peachtree Industrial Blvd Suite 4103 Suwanee GA 30024-4539 |
| Practice Telephone | 7708315568 |
| Practice Fax Number | 7708315527 |
| Mailing Telephone | 7708315568 |
| Mailing Fax Number | 7708315527 |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2010-06-06 |
| Authorized Official Name | TARA PERRY (DENTIST) |
| Authorized Official Telephone | 7708315568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
012548 | GA | Dental Providers |
| Street Address |
1300 PEACHTREE INDUSTRIAL BLVD SUITE 4103 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679503577 | Shukri George Makhlouf | Internal Medicine | 1300 Peachtree Industrial Blvd, Suite 4203, Suwanee, GA 30024-4539 | 2006-07-04 |
| 1568901445 | Olivia Mary Flory | Physician Assistant | 1300 Peachtree Industrial Blvd, Suwanee, GA 30024-4539 | 2017-02-13 |
| 1598204463 | Mandy Ulseth | Physician Assistant | 1300 Peachtree Industrial Blvd, Suite 4101, Suwanee, GA 30024-4539 | 2017-02-13 |
| 1689128902 | Elliot Stokes | Physician Assistant | 1300 Peachtree Industrial Blvd, #4101, Suwanee, GA 30024-4539 | 2016-08-04 |
| 1407254238 | Dental Sleep Therapy LLC | Durable Medical Equipment & Medical Supplies | 1300 Peachtree Industrial Blvd, Suite 4103, Suwanee, GA 30024-4539 | 2014-12-10 |
| 1952702409 | Georgia Sleep Systems LLC | Durable Medical Equipment & Medical Supplies | 1300 Peachtree Industrial Blvd, 4103, Suwanee, GA 30024-4539 | 2014-09-15 |
| 1730593815 | John Caleb Henson | Physician Assistant | 1300 Peachtree Industrial Blvd, Suite 4101, Suwanee, GA 30024-4539 | 2014-06-17 |
| 1003146143 | Innovative Medical, Inc. | Family Medicine | 1300 Peachtree Industrial Blvd, Suite 2203, Suwanee, GA 30024-4539 | 2010-01-13 |
| 1912151853 | Innovative Health, Inc | Physical Therapist | 1300 Peachtree Industrial Blvd, Suite 2203, Suwanee, GA 30024-4539 | 2008-11-05 |
| 1295907756 | Gwinnett Urgent Care | Emergency Medicine | 1300 Peachtree Industrial Blvd, Ste 4101, Suwanee, GA 30024-4539 | 2008-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| 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 |
|---|---|---|---|---|
| 1518598325 | Redwood Dental of Georgia | Dentist | 6916 Mcginnis Ferry Rd Ste 500, Suwanee, GA 30024-1258 | 2020-01-30 |
| 1952962854 | Liudmila Poznyak | Dentist | 4245 Johns Creek Pkwy Ste C, Suwanee, GA 30024-9122 | 2019-06-22 |
| 1194217398 | Farah Kim | Dentist | 3250 Camellia Ln, Suwanee, GA 30024-5335 | 2018-06-04 |
| 1164872057 | Davis Smith | Dentist | 2627 Peachtree Pkwy Ste 440, Suwanee, GA 30024-1018 | 2016-06-21 |
| 1285081950 | Tarang Choxi | Dentist | 1039 Peachtree Industrial Blvd Ste A116, Suwanee, GA 30024-8766 | 2016-05-23 |
| 1972922276 | Jennifer L. Mccoy, Dds, LLC | Dentist | 3930 Charleston Market St Ste B1, Suwanee, GA 30024-8757 | 2014-04-15 |
| 1265712483 | Fabiola Isabel Palacios-barrionuevo | Dentist | 3920 Shiloh Ridge Run, Suwanee, GA 30024-6015 | 2011-08-18 |
| 1033410857 | Dentistry for Children of Suwanee, LLC | Dentist | 3855 Johns Creek Pkwy Ste D, Suwanee, GA 30024-1293 | 2010-11-10 |
| 1932351731 | Georgia Dental Professionals, PC | Dentist | 3320 Lawrenceville Suwanee Rd, Suite 2f, Suwanee, GA 30024-6542 | 2008-10-13 |
| 1114116365 | Robert H Shackelford | Dentist | 3915 Johns Creek Ct, Ste 110, Suwanee, GA 30024-1265 | 2007-10-23 |
| Find all providers in SUWANEE | ||||
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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.