BENNIE C. EVANS,D.D.S.,P.C. (NPI# 1093819591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093819591 |
| Entity Type | Organization |
| Organization Name | BENNIE C. EVANS,D.D.S.,P.C. |
| Practice Address |
210 Addavale St Griffin GA 30224-4217 |
| Practice Telephone | 7702291490 |
| Practice Fax Number | 7702294929 |
| Mailing Telephone | 7702291490 |
| Mailing Fax Number | 7702294929 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BENNIE CLEVELAND EVANS (DENTIST/OWNER) |
| Authorized Official Telephone | 7702291490 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8495 | GA | Dental Providers |
| Street Address |
210 ADDAVALE ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073057956 | Addevale Family Dentistry, P.C. | Dentist | 210 Addavale St, Griffin, GA 30224-4217 | 2016-12-12 |
| 1730568296 | Bennie Cleaveland Evans | Dentist | 210 Addavale St, Griffin, GA 30224-4217 | 2015-05-29 |
| 1609026707 | Stuart Emory Schroeter | Dentist | 210 Addavale St, Griffin, GA 30224-4217 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| 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 |
|---|---|---|---|---|
| 1083864250 | Chastity Moore Brown | Dentist | 1520 Lucky Street, Griffin, GA 30233 | 2008-09-24 |
| 1528279791 | Jeffrey William Rowe | Dentist | 320 S 8th St, Griffin, GA 30224-4207 | 2007-05-26 |
| 1750500666 | Griffin Family Dentistry | Dentist | 712 S 8th St, Griffin, GA 30224-4827 | 2007-04-25 |
| 1932226743 | Thomas J Washington IIi | Dentist | 565 S 9th St, Griffin, GA 30224-4157 | 2007-03-25 |
| 1669526943 | Morgan T Fordham | Dentist | 317 S Hill St, Griffin, GA 30224-4223 | 2007-01-23 |
| 1487701173 | Magusiak & Morgan, LLP | Dentist | 663 S 9th St, Griffin, GA 30224-4215 | 2007-01-04 |
| 1205938826 | John Clinton Sieweke | Dentist | 636 E College St, Griffin, GA 30224-4311 | 2006-09-03 |
| 1689788424 | Timothy Francis Hamilton | Dentist | 303 South 8th Street, Griffin, GA 30224-4206 | 2006-08-18 |
| 1093735391 | Edward M. Parker Jr. | Dentist | 720 S 8th St, Griffin, GA 30224-4827 | 2006-07-20 |
| 1083633838 | Philip T. Boswell | Dentist | 675 S 8th St, Griffin, GA 30224-4243 | 2006-07-19 |
| Find all providers in GRIFFIN | ||||
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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.