SNO HEALTHCARE GROUP (NPI# 1104451160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104451160 |
| Entity Type | Organization |
| Organization Name | SNO HEALTHCARE GROUP |
| Practice Address |
2424 Roswell Rd Ste 120 Marietta GA 30062 |
| Mailing Address |
2424 Roswell Rd Ste 120 Marietta GA 30062-4719 |
| Practice Telephone | 6789056004 |
| Mailing Telephone | 6789056004 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | DR. DAVID L WITT (DENTIST) |
| Authorized Official Telephone | 6789056004 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sno Dental | Doing Business As Name - Organization |
| Street Address |
2424 ROSWELL RD STE 120 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062 |
| 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 |
| 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 |
| 1396100111 | Lisa Marie Walsh | Nurse Practitioner | 4343 Shallowford Rd Ste B7b, Marietta, GA 30062 | 2015-12-21 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935710 | West Cobb Periodontics and Implant Dentistry LLC | Clinic/Center | 44 Old Hamilton Rd Nw Ste 200, Marietta, GA 30064-5901 | 2020-03-02 |
| 1609408947 | One Dental, LLC | Clinic/Center | 2500 Dallas Hwy Sw Ste 2021058, Marietta, GA 30064-2567 | 2020-02-05 |
| 1356809966 | Dental Wellness Center of Marietta, LLC | Clinic/Center | 2100 Roswell Rd Ste A&b, Marietta, GA 30062-0810 | 2019-03-04 |
| 1376053710 | Little P.C. | Clinic/Center | 2100 Roswell Rd Ste 1108, Marietta, GA 30062-0883 | 2017-10-11 |
| 1144850926 | Fidanoski Dentistry, LLC | Clinic/Center | 1150 Whitlock Ave Nw, Marietta, GA 30064-1933 | 2020-01-22 |
| 1891359469 | Dental Outreach, D. Austin Rehl, Dds, Peter E. Lovejoy, Dds, and Jarek | Clinic/Center | 30 Acme St, Marietta, OH 45750-3306 | 2019-04-29 |
| 1538641162 | Marietta Smile Gallery | Clinic/Center | 3535 Roswell Rd Ste 3, Marietta, GA 30062-8827 | 2018-08-30 |
| 1750792909 | Paper Mill Dental LLC | Clinic/Center | 135 Johnson Ferry Rd, #2210, Marietta, GA 30068-4942 | 2014-05-09 |
| 1093146078 | Marietta Smiles LLC | Clinic/Center | 175 White St Nw, Suite 300, Marietta, GA 30060-1053 | 2013-12-02 |
| 1114132115 | Robert A Foster Jr Dmd PC | Clinic/Center | 1230 Johnson Ferry Pl, Suite C-10, Marietta, GA 30068-2048 | 2007-05-11 |
| 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.