DOWNTOWN DENTAL LLC (NPI# 1073700464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073700464 |
| Entity Type | Organization |
| Organization Name | DOWNTOWN DENTAL LLC |
| Practice Address |
1162 Broad Street Augusta GA 30901 |
| Practice Telephone | 7067240544 |
| Practice Fax Number | 7067240545 |
| Mailing Telephone | 7067240544 |
| Mailing Fax Number | 7067240545 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |
| Authorized Official Name | DR. JUANITA SHIRLEY ADKINS (OWNER DENTIST) |
| Authorized Official Telephone | 7067240544 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN013121 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891866000 | Downtown Dental LLC | Clinic/Center | 25 E Washington St, Suite 1921, Chicago, IL 60602-1708 | 2006-11-10 |
| Street Address |
1162 BROAD STREET |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1356848022 | Olubusola Olaoluwa Olaseinde | Dentist | 2122 Swindon Dr, Augusta, GA 30909-6912 | 2018-04-10 |
| 1992172407 | Jeremy Richard Edwards | Dentist | 3208 Crane Ferry Rd, Augusta, GA 30907-3771 | 2015-09-01 |
| 1346616810 | Michael Shane Baura | Dentist | 1 Freedom Way # 233u, Augusta, GA 30904-6258 | 2015-08-19 |
| 1972912301 | Matthew Lee Andrews | Dentist | The Dental College of Georgia 1120 15th Street Gc 5110, Augusta, GA 30912-0001 | 2014-08-11 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1558797761 | One Smile Away Inc | Dentist | 4159 Elders Dr, Augusta, GA 30909-9145 | 2013-09-19 |
| 1285986067 | Tanya Lynn Shores | Dentist | 1210 Geore C. Wilson Dr., Augusta, GA 30909-4501 | 2012-10-04 |
| 1073864963 | Matthew Ross Anderson | Dentist | 1120 15th St # Gc5110, Augusta, GA 30912-0004 | 2012-10-02 |
| 1699099853 | Eric J Sterett | Dentist | 2437 Lumpkin Rd, Augusta, GA 30906-3000 | 2010-03-17 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on DOWNTOWN DENTAL LLC.
| 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.