JORGE DEL CUADRO (NPI# 1124404520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124404520 |
| Entity Type | Individual |
| Full Name | JORGE DEL CUADRO |
| Practice Address |
1090 Northchase Pkwy Se Ste 290 Marietta GA 30067-6402 |
| Mailing Address |
200 Ave Jesus T Pinero Apt 11k San Juan PR 00918-4109 |
| Practice Telephone | 6788164917 |
| Mailing Telephone | 7875011984 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401414996 | VA | Dental Providers |
| Street Address |
1090 NORTHCHASE PKWY SE STE 290 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164842407 | Buhlebenkosi Prisca Mabandla | Dentist | 1090 Northchase Pkwy Se Ste 290, Marietta, GA 30067-6402 | 2014-04-25 |
| 1790198273 | Kayla Dawson | Dentist | 1090 Northchase Pkwy Se Ste 290, Marietta, GA 30067-6402 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| 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 |
| 1053413906 | Nelson K Allen | Dentist | 2880 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-8368 | 2006-09-02 |
| 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 |
| 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.