GEORGIA ENDODONTIC SPECIALISTS (NPI# 1174794002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174794002 |
| Entity Type | Organization |
| Organization Name | GEORGIA ENDODONTIC SPECIALISTS |
| Other Organization Name | NORTH GEORGIA ENDODONTIC SPECIALISTS |
| Practice Address |
9590 Medlock Bridge Rd Suite G Duluth GA 30097 |
| Practice Telephone | 7702325112 |
| Practice Fax Number | 7702325115 |
| Mailing Telephone | 7702325112 |
| Mailing Fax Number | 7702325115 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DR. LES HALE KRAVITZ (PRESIDENT) |
| Authorized Official Telephone | 7702325112 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
10636 | GA | Dental Providers |
| Other Name | Type Code |
|---|---|
| North Georgia Endodontic Specialists | Doing Business As Name - Organization |
| Street Address |
9590 MEDLOCK BRIDGE RD SUITE G |
| City | DULUTH |
| State | GA |
| Zip Code | 30097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730255290 | Chris Sholota | Dentist | 9590 Medlock Bridge Rd, Suite C, Duluth, GA 30097-5987 | 2006-11-28 |
| 1730570185 | Anglea Slone Dmd PC | Clinic/Center | 9590 Medlock Bridge Rd, Ste D, Duluth, GA 30097-4443 | 2015-02-06 |
| 1841502515 | Ross Andrew Rickoff | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097-4443 | 2010-07-09 |
| 1740465483 | Bilal Shah Khan | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097-4443 | 2007-12-31 |
| 1255515805 | Les Hale Kravitz | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097-4443 | 2007-12-18 |
| 1194909820 | Bruce D Rickoff | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097-4443 | 2007-12-17 |
| 1467672410 | Brian Gregory Booth | Dentist | 9590 Medlock Bridge Rd, Ste B, Duluth, GA 30097-5990 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588660 | The Dental Specialist of Minnesota, Pllc | Dentist | 324 W Superior St Ste 824, Duluth, MN 55802-1718 | 2019-09-26 |
| 1487863262 | Waheed A Malik | Dentist | 2405 Satellite Blvd., Suite 115, Duluth, GA 30096 | 2007-05-21 |
| 1568528404 | Thomas J Zbaracki Jr. | Dentist | 5005 Matterhorn Drive, Ste 1, Duluth, MN 55811 | 2006-12-28 |
| 1073122321 | Dental Specialist of Minnesota, Pllc | Dentist | 324 W Superior St Ste 824, Duluth, MN 55802-1718 | 2020-07-23 |
| 1982873964 | Rakesh Raina | Dentist | 1815 Satellite Blvd, Suite # 301, Duluth, GA 30097-5237 | 2008-02-25 |
| 1740465483 | Bilal Shah Khan | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097-4443 | 2007-12-31 |
| 1255515805 | Les Hale Kravitz | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097-4443 | 2007-12-18 |
| 1194909820 | Bruce D Rickoff | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097-4443 | 2007-12-17 |
| 1225102312 | Richard Lawrence Kronzer | Dentist | 324 W Superior St, Suite 530, Duluth, MN 55802-1701 | 2006-11-20 |
| 1366516460 | Kimberly Ann-davis Lindquist | Dentist | 324 W Superior St, Suite 530, Duluth, MN 55802-1701 | 2006-11-20 |
| Find all providers in DULUTH | ||||
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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.