DR. JOHN PAUL MISTRETTA (NPI# 1174603013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174603013 |
Entity Type | Individual |
Full Name | DR. JOHN PAUL MISTRETTA |
Credential | DDS |
Practice Address |
99 Jesse Hill Jr Drive Atlanta GA 30303 |
Practice Telephone | 4047301471 |
Practice Fax Number | 4047301475 |
Mailing Telephone | 4047301471 |
Mailing Fax Number | 4047301475 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN008955 | GA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00170717R | 05 | |
GA | 00170717K | 05 | |
GA | 00170717E | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275690661 | John Paul Mistretta | Chiropractor | 5 Greenville Orthopedic Ctr, Greenville, PA 16125-1210 | 2007-01-03 |
1346335668 | John Mark Mistretta | Chiropractor | 6 Mcmaster St Ste 1, Owego, NY 13827-1029 | 2006-10-03 |
1790879047 | John Joseph Mistretta | Dentist | 15201 Shady Grove Rd, # 101, Rockville, MD 20850 | 2006-10-03 |
Street Address |
99 JESSE HILL JR DRIVE |
City | ATLANTA |
State | GA |
Zip Code | 30303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811064298 | Winston S Thomas | Registered Nurse | 99 Jesse Hill Jr Drive, Rm 402, Atlanta, GA 30303 | 2006-11-29 |
1598834384 | Kimberly S Lewis | Dentist | 99 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2006-11-07 |
1528143062 | Angela Stephens | Nutritionist | 99 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2006-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
Find all providers in zip 30303 |
Taxonomy Code | 1223D0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dental Public Health |
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033260898 | Janine E. Randall | Dentist | 4199 Paces Ferry Rd Se, Suite D, Atlanta, GA 30339-5750 | 2007-01-16 |
1972118123 | Polish Dental Center Midtown | Dentist | 587 Virginia Ave Ne Unit 5, Atlanta, GA 30306-3695 | 2020-09-14 |
1174975429 | Alan Clark Peterson Sr. | Dentist | 601 Mcdonough Blvd Se, Atlanta, GA 30315-4400 | 2016-07-11 |
1841638152 | Michael Mina Guirguis | Dentist | 2600 Martin Luther King Jr Dr Sw, Atlanta, GA 30311-1636 | 2013-06-08 |
1326207440 | Kenneth Wayne Spraggins | Dentist | 99 Jesse Hill Jr Dr Se, Third Floor - Dental Department, Atlanta, GA 30303-3030 | 2008-06-04 |
1134285786 | Christina Elizabeth Stoever | Dentist | 5975 Roswell Rd Ne, Suite 229, Atlanta, GA 30328-4048 | 2006-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699380840 | Polish Dental Center Alpharetta LLC | Dentist | 4640 Valais Ct Ste 102, Alpharetta, GA 30022-2606 | 2020-09-14 |
1275150294 | James Patrick Cook | Dentist | 127 Telfair St Fl 3, Augusta, GA 30901-2590 | 2020-06-26 |
1215313044 | Georgia Dental Professionals, PC | Dentist | 6005 Watson Blvd Suite 200, Byron, GA 31008 | 2015-08-04 |
1043650377 | F. Allen Shaw | Dentist | 6743 Beaver Trl, Midland, GA 31820-3836 | 2013-07-01 |
1205167962 | Dana E Nelson Witherspoon | Dentist | 2000 Riverside Parkway, Suite 200, Great Expressions Dental Centers of Georgia, PC, Lawrenceville, GA 30043 | 2010-01-20 |
1578701157 | Allen Michael Vergen | Dentist | 501 N Pierce St, Alma, GA 31510-2445 | 2009-02-04 |
1114181138 | Gainesville Dental Group LLC | Dentist | 1026 Thompson Bridge Road, Gainesville, GA 30501-1704 | 2008-07-18 |
1326170663 | Jerry Lamar Thomas | Dentist | 128 Martin Luther King Jr Ct, Lagrange, GA 30241-3656 | 2007-03-12 |
1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
1013090307 | Olivia Taylor | Dentist | 1305 Redmond Cir Nw Bldg 614, Rome, GA 30165-1345 | 2006-10-23 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. JOHN PAUL MISTRETTA.
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.