DR. NELSON K ALLEN (NPI# 1053413906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053413906 |
| Entity Type | Individual |
| Full Name | DR. NELSON K ALLEN |
| Credential | DDS |
| Practice Address |
2880 Johnson Ferry Rd Suite 100 Marietta GA 30062-8368 |
| Practice Telephone | 6788132388 |
| Practice Fax Number | 6788132392 |
| Mailing Telephone | 6788132388 |
| Mailing Fax Number | 6788132392 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2012-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN013148 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 896892351B | 05 |
| Street Address |
2880 JOHNSON FERRY RD SUITE 100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-8368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811302474 | Whitney Gabrielle Lyons | Dentist | 2880 Johnson Ferry Rd, Unit 100, Marietta, GA 30062-8368 | 2014-06-23 |
| 1346652062 | East Cobb Dentistry for Kids | Dentist | 2880 Johnson Ferry Rd, Marietta, GA 30062-8368 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| 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 |
|---|---|---|---|---|
| 1003352857 | Kimchang & Company, LLC | Dentist | 2155 Post Oak Tritt Rd Ste 450, Marietta, GA 30062-8608 | 2017-01-17 |
| 1003366147 | East Cobb Nia LLC | Dentist | 1111 Johnson Ferry Rd, Marietta, GA 30068-2181 | 2016-10-13 |
| 1407993827 | Priya N Dixit | Dentist | 2880 Johnson Ferry Rd Ste 100, Marietta, GA 30062-8368 | 2007-02-01 |
| 1821152364 | Michael Rossitch | Dentist | 3698 Largent Way Nw, Suite 201, Marietta, GA 30064-5923 | 2006-12-20 |
| 1154365161 | Marc Andrew Auerbach | Dentist | 1090 Northchase Pkwy Se, Suite 290, Marietta, GA 30067-6405 | 2006-06-16 |
| 1659313856 | Terry W. Holder | Dentist | 5107 Township Ridge Trce, Marietta, GA 30066-1733 | 2006-06-12 |
| 1679922470 | South Indy Dental, P.C. | Dentist | 1090 Northchase Pkwy Se, Ste. 150, Marietta, GA 30067-6405 | 2016-06-13 |
| 1396106142 | Tebo Dentistry for Kids Marietta LLC | Dentist | 2155 Post Oak Tritt Rd, Suite 450, Marietta, GA 30062-8620 | 2016-03-08 |
| 1982073441 | John Hampton Taylor | Dentist | 1230 Johnson Ferry Rd, Suite I-10, Marietta, GA 30068-2048 | 2015-09-15 |
| 1124404520 | Jorge Del Cuadro | Dentist | 1090 Northchase Pkwy Se Ste 290, Marietta, GA 30067-6402 | 2015-08-07 |
| Find all providers in MARIETTA | ||||
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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.