DR. BRUCE ALAN EDELSTEIN (NPI# 1164549580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164549580 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ALAN EDELSTEIN |
| Credential | D.D.S. |
| Practice Address |
2045 Peachtree Rd Ne Suite 416 Atlanta GA 30309-1414 |
| Practice Telephone | 4043521911 |
| Practice Fax Number | 4043523661 |
| Mailing Telephone | 4043521911 |
| Mailing Fax Number | 4043523661 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN009420 | GA | Dental Providers |
| Street Address |
2045 PEACHTREE RD NE SUITE 416 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373611 | Keith Myron Dockery | Otolaryngology | 2045 Peachtree Rd Ne, Ste 500, Atlanta, GA 30309-1496 | 2005-06-02 |
| 1083007827 | H. Elizabeth King, Phd, PC | Counselor | 2045 Peachtree Rd Ne, Suite 150, Atlanta, GA 30309-1414 | 2015-03-17 |
| 1386986867 | Allison Binnicker Hill | Psychologist | 2045 Peachtree Rd Ne, Suite 150, Atlanta, GA 30309-1414 | 2013-03-21 |
| 1477812055 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 2045 Peachtree Rd Ne, Suite 500, Atlanta, GA 30309-1414 | 2012-05-16 |
| 1023386562 | Beth Ann Gundy | Physician Assistant | 2045 Peachtree Rd Ne, Suite 200, Atlanta, GA 30309-1414 | 2011-12-13 |
| 1376821397 | Vera Iheanacho | Physician Assistant | 2045 Peachtree Rd Ne, Suite 810, Atlanta, GA 30309-1414 | 2011-07-25 |
| 1396038774 | Nauctwoandhalf | Clinic/Center | 2045 Peachtree Rd Ne, Suite 700, Atlanta, GA 30309-1414 | 2011-05-18 |
| 1770874455 | Laura Leigh Nannini | Counselor | 2045 Peachtree Rd Ne, Suite T1, Atlanta, GA 30309-1414 | 2011-04-28 |
| 1023315686 | Elizabeth Morgan Md PC | Plastic Surgery | 2045 Peachtree Rd Ne, Suite, Atlanta, GA 30309-1414 | 2011-02-17 |
| 1275840639 | Amy C Musselman | Specialist/Technologist | 2045 Peachtree Rd Ne, Atlanta, GA 30309-1414 | 2010-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073972584 | Kara Kramer | Dentist | 2970 Peachtree Rd Nw Ste 622, Atlanta, GA 30305-2115 | 2016-02-12 |
| 1699104927 | Nisha Maniar Kancherla | Dentist | 300 W Wieuca Rd Ne Suite 100, Atlanta, GA 30342-9701 | 2013-11-07 |
| 1306273172 | Gerrit Charles Hagman | Dentist | 6190 Rivercliffe Dr, Atlanta, GA 30328-3711 | 2013-10-10 |
| 1306188156 | Brock J Pumphrey I | Dentist | 999 Peachtree St Ne Ste 710, Atlanta, GA 30309-3964 | 2013-03-20 |
| 1760732697 | Maria Andreina Izarra | Dentist | 199 14th St Ne, #2205, Atlanta, GA 30309-3643 | 2012-09-18 |
| 1538370143 | Abe Shuster | Dentist | 999 Peachtree St, Suite 710, Atlanta, GA 30309-3915 | 2007-05-25 |
| 1962628776 | Frank P. Benson | Dentist | 6105 Peachtree Dunwoody Rd., Building C Suite 245, Atlanta, GA 30328 | 2007-04-18 |
| 1245351089 | Aubrey Scher | Dentist | 3648 Chamblee Tucker Rd, Atlanta, GA 30341-4403 | 2007-04-02 |
| 1386763464 | Mark Thomas Litterer | Dentist | 3648 Chamblee Tucker Rd Ste B, Atlanta, GA 30341-4403 | 2007-03-28 |
| 1326176991 | Piedmont Periodontics | Dentist | 222 12th Street, Suite 1b, Atlanta, GA 30309-5044 | 2007-03-02 |
| Find all providers in ATLANTA | ||||
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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.