COWETA DENTISTRY SDA PC (NPI# 1164064481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164064481 |
| Entity Type | Organization |
| Organization Name | COWETA DENTISTRY SDA PC |
| Practice Address |
203 Millard Farmer Ind Blvd Newnan GA 30263-1012 |
| Practice Telephone | 7702533595 |
| Mailing Telephone | 7702533595 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | CHRISTOPHER SIMS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4705521823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| COWETA DENTISTRY ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482052 | Coweta Dentistry Sda PC | Dentist | 50 Jefferson St, Newnan, GA 30263-1947 | 2017-01-05 |
| 1689118127 | Coweta Dentistry Sda PC | Dentist | 15 Ruth Dr, Newnan, GA 30265-2317 | 2016-12-16 |
| 1851835391 | Coweta Dentistry Sda PC | Dentist | 56 Jefferson St, Newnan, GA 30263-1947 | 2016-12-16 |
| Street Address |
203 MILLARD FARMER IND BLVD |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| 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 |
|---|---|---|---|---|
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1235762188 | Stiehl Family Dentistry, LLC | Dentist | 55 Glenda Trce # 338, Newnan, GA 30265-3887 | 2020-02-19 |
| 1871147116 | Henry Jackson | Dentist | 55 Glenda Trce, Newnan, GA 30265-3887 | 2019-07-25 |
| 1669924031 | Vsm Aberdeen Dental LLC | Dentist | 71 Postal Pkwy, Newnan, GA 30263-2979 | 2016-11-01 |
| 1700248085 | Komal Bhat | Dentist | 1741 Newnan Crossing Blvd E Ste M, Newnan, GA 30265-6600 | 2016-03-24 |
| 1457739971 | Kanu Priya Goel | Dentist | 201 Newnan Crossing Bypass, Newnan, GA 30263-2401 | 2015-05-16 |
| 1588906572 | Moataz N Elkasrawy | Dentist | 201 Newnan Crossing Byp, Newnan, GA 30265-1063 | 2013-03-18 |
| 1316105240 | Daniel Brent Mcmanus | Dentist | 7 Baynard Park, Newnan, GA 30265 | 2008-05-28 |
| 1356514251 | Patrick H Yancey IIi Dmd | Dentist | 119 Jackson Street, Newnan, GA 30263 | 2008-04-11 |
| 1124298104 | Afi Wilkins | Dentist | 1741 Newnan Crossing Boulevard, Suite I, Newnan, GA 30265 | 2008-03-06 |
| Find all providers in NEWNAN | ||||
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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.