DENTISTRY FOR CHILDREN (NPI# 1164411674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164411674 |
| Entity Type | Organization |
| Organization Name | DENTISTRY FOR CHILDREN |
| Practice Address |
435 Arrowhead Blvd Jonesboro GA 30236-1219 |
| Mailing Address |
125 Eagles Pointe Pkwy Suite 120 Stockbridge GA 30281-6379 |
| Practice Telephone | 7704788700 |
| Practice Fax Number | 7704738766 |
| Mailing Telephone | 7704731350 |
| Mailing Fax Number | 7706920098 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAY LEVITT (OWNER) |
| Authorized Official Telephone | 7704788400 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740717313 | Dentistry for Children | Dentist | 508 Cynwood Dr, Ste. B, Easton, MD 21601-3892 | 2017-05-15 |
| 1699819524 | Dentistry for Children | Dentist | 216 Fountain Court, Suite 150, Lexington, KY 40509 | 2007-02-16 |
| 1679665822 | Dentistry for Children | Dentist | 305 E Jefferson, Suite 103, Boise, ID 83712 | 2006-09-28 |
| 1205273224 | Dentistry for Children | Dentist | 107 S Broadway, Yonkers, NY 10701-4006 | 2013-05-31 |
| 1871738542 | Dentistry for Children | Dentist | 5833 Carmichael Rd, Montgomery, AL 36117 | 2008-12-10 |
| 1497900989 | Dentistry for Children | Respite Care | 17320 W Grand Pkwy S, Suite D., Sugar Land, TX 77479-2666 | 2008-11-25 |
| 1083807945 | Dentistry for Children | Dentist | 205 Champion Way, Suite 9, Georgetown, KY 40324-8862 | 2007-08-23 |
| 1295937704 | Dentistry for Children | Dentist | 231 Nw 72nd St, Gladstone, MO 64118-1821 | 2007-06-05 |
| 1245374172 | Dentistry for Children | Dentist | 216 Fountain Ct, Suite#150, Lexington, KY 40509-1888 | 2007-02-16 |
| 1568567246 | Dentistry for Children | Dentist | 216 Fountain Ct, Suite#150, Lexington, KY 40509-1888 | 2006-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DENTISTRY FOR CHILDREN AT HASTINGS, P.C. | 615 Broadway, Hastings On Hudson, Ny 10706 |
| New York State Corporations | DENTISTRY FOR CHILDREN AT MT KISCO PLLC | 615 Broadway, Hastings On Hudson, Ny 10706 |
| New York State Corporations | DENTISTRY FOR CHILDREN AT PEEKSKILL, P.C. | 4 Fox Run Road, Briarcliff Manor, Ny 10510 |
| Iowa Business Entities | DENTISTRY FOR CHILDREN OF IOWA, PLLC | 1350 Spring Street Nwsuite 750, Atlanta, GA 30309 |
| Connecticut Business Registrations | DENTISTRY FOR CHILDREN, LLC | 149 East Avenue, #21, Norwalk, CT 06851 |
| Oregon Corporations, Companies and Business Names | DENTISTRY FOR CHILDREN, NW | 2215 Willamette St Ste A, Eugene, OR 97405 |
| Colorado Business Entities | Dentistry for Children, P.C. | 404 E. Mineral Ave, Suite A, Littleton, CO 80122 |
| Oregon Corporations, Companies and Business Names | DENTISTRY FOR CHILDREN, P.C. | 5440 Sw Westgate Drive, Suite 380, Portland, OR 97221 |
| New York State Corporations | DENTISTRY FOR CHILDREN, P.C. | 615 Broadway, Hastings-on-hudson, Ny 10706 |
| Street Address |
435 ARROWHEAD BLVD |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801225305 | Tom Harmon | Dentist | 435 Arrowhead Blvd, Ste 100, Jonesboro, GA 30236-1219 | 2013-11-05 |
| 1336410182 | Mariel Nortick | Dentist | 435 Arrowhead Blvd, Jonesboro, GA 30236-1219 | 2012-01-24 |
| 1083915896 | Dentistry for Children of Jonesboro, LLC | Dentist | 435 Arrowhead Blvd, Jonesboro, GA 30236-1219 | 2010-11-10 |
| 1609959345 | Jonesboro Dental Associates | Dentist | 435 Arrowhead Blvd, Suite 100, Jonesboro, GA 30236-1219 | 2006-10-24 |
| 1902829161 | Brad Warren Roehl | Dentist | 435 Arrowhead Blvd, Jonesboro, GA 30236-1219 | 2006-07-26 |
| 1114992724 | Antonia R Williams | Dentist | 435 Arrowhead Blvd, Jonesboro, GA 30236-1219 | 2006-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| 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 |
|---|---|---|---|---|
| 1720242167 | Summer Barker Tyson | Dentist | 620 Southwest Dr, Jonesboro, AR 72401-5859 | 2008-07-15 |
| 1790909752 | Ken Wood, D.d.s. M.s. Childrens Dentistry | Dentist | 2702 S Culberhouse St, Suite Q, Jonesboro, AR 72401-7132 | 2007-04-12 |
| 1447310883 | Michael Douglas Oliver Jr. | Dentist | 809 Windover Rd, Jonesboro, AR 72401-6010 | 2006-12-08 |
| 1548360001 | Ken I Wood | Dentist | 2702 Culberhouse, Southwest Village, Jonesboro, AR 72401 | 2006-09-25 |
| 1861937518 | Axpm Jonesboro Pedo, Pllc | Dentist | 1150 E Matthews Ave, Ste 102, Jonesboro, AR 72401-4346 | 2017-01-04 |
| 1225402373 | Homegrown Pediatric Dentistry and Orthodontics | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2015-11-30 |
| 1801181672 | Clemmisa Louise Harris | Dentist | 809 Windover Rd, Jonesboro, AR 72401-6010 | 2011-06-09 |
| 1538453006 | Tyson Dental Associates Pllc | Dentist | 620 Southwest Dr, Jonesboro, AR 72401-5859 | 2011-06-02 |
| 1689791519 | Angel M Guardiola | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2007-03-24 |
| 1902829161 | Brad Warren Roehl | Dentist | 435 Arrowhead Blvd, Jonesboro, GA 30236-1219 | 2006-07-26 |
| Find all providers in JONESBORO | ||||
Please comment or provide details below to improve the information on DENTISTRY FOR CHILDREN.
| 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.