DR. JELANI TENOA WASHINGTON SR. (NPI# 1083698757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083698757 |
| Entity Type | Individual |
| Full Name | DR. JELANI TENOA WASHINGTON SR. |
| Credential | D.D.S. |
| Practice Address |
976 East Freeway Drive Suite A Conyers GA 30094 |
| Practice Telephone | 6154912127 |
| Mailing Telephone | 6154912127 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2014-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 013277 | GA | Dental Providers |
| N | 122300000X | Dentist | 8298 | TN | Dental Providers |
| Street Address |
976 EAST FREEWAY DRIVE SUITE A |
| City | CONYERS |
| State | GA |
| Zip Code | 30094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| 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 |
|---|---|---|---|---|
| 1841730686 | A. Amin PC | Dentist | 1096 West Ave Sw, Conyers, GA 30012-5244 | 2017-02-27 |
| 1841656246 | Pkr Dental LLC | Dentist | 1450 Highway 138 Se, Conyers, GA 30013-1285 | 2016-01-14 |
| 1376948182 | Latonya F. R. Gillespie | Dentist | 1910 Highway 20 Se Ste 100, Conyers, GA 30013-2074 | 2014-10-23 |
| 1841609344 | Kratika Pareek | Dentist | 1152 Old Salem Rd Se, Conyers, GA 30094-5944 | 2014-08-08 |
| 1396172235 | Nicholas Phung | Dentist | 1450 Sr 138, Conyers, GA 30013 | 2013-10-10 |
| 1194166306 | Kimberly Anne Peters | Dentist | 1253 Commercial Dr Sw, Conyers, GA 30094-5987 | 2013-07-16 |
| 1932461860 | Sacred Dental | Dentist | 1360 Dogwood Drive, Conyers, GA 30013 | 2012-06-15 |
| 1871809582 | Racquel T Lewis | Dentist | 2239 Highway 20 Se, Conyers, GA 30013-2091 | 2010-08-19 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| 1356579825 | Tani Kerri-ann Rainford | Dentist | 1810 Georgia Highway 20 Se Ste 172, Conyers, GA 30013-2001 | 2009-06-23 |
| Find all providers in CONYERS | ||||
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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.