NORTH GEORGIA DENTAL SEDATION CENTER (NPI# 1194972901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194972901 |
| Entity Type | Organization |
| Organization Name | NORTH GEORGIA DENTAL SEDATION CENTER |
| Practice Address |
655 Jesse Jewel Pkwy Se Suite E Gainesville GA 30501 |
| Mailing Address |
655 Jesse Jewell Pkwy Se Suite Gainesville GA 30501-3756 |
| Practice Telephone | 7705399110 |
| Practice Fax Number | 6787148388 |
| Mailing Telephone | 7705399110 |
| Mailing Fax Number | 6787148388 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | MARIELLA RAMOS (OFFICE MANAGER) |
| Authorized Official Telephone | 6787147011 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDRENS DENTISTRY AT GAINESVILLE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN013443 | GA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN008032 | GA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN012082 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000851727B | 05 | |
| GA | 500132139C | 05 | |
| GA | 000046582Y | 05 |
| Street Address |
655 JESSE JEWEL PKWY SE SUITE E |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
| 1871010041 | Suha Aljuneidi | Dentist | 1395 Center Dr # 11-06, Gainesville, FL 32610-3006 | 2017-08-28 |
| 1760921480 | Peachtree Childrens Dentistry Gainesville LLC | Dentist | 885 Dawsonville Hwy., Suite 1130, Gainesville, GA 30501 | 2017-02-14 |
| 1497102966 | Mohammad Zohaib | Dentist | 7521 Virginia Oaks Dr Ste 210, Gainesville, VA 20155-3831 | 2016-05-15 |
| 1093944274 | David Ian Rosen | Dentist | 4700 Sw Archer Road, Apt S 129, Gainesville, FL 32608 | 2009-07-08 |
| 1043470180 | North Texas Children's Dentistry, Pllc | Dentist | 321 North Grand Avenue, Gainesville, TX 76240 | 2008-06-12 |
| 1396912168 | Jason A Clapp Dds Pa | Dentist | 840-a E Main Street, Gainesville, TX 76240 | 2008-05-12 |
| 1881892008 | Karly Simone Fabres | Dentist | 5206 Sw 91st Ter, Apt B, Gainesville, FL 32608-7124 | 2007-07-10 |
| 1962536714 | Edna Perez | Dentist | 1600 Sw Archer Road Department of Pediatric Dentistry, College of Dentistry, University of Florida, Gainesville, FL 32610-0426 | 2007-03-15 |
| 1427139849 | Rhea Davis | Dentist | 7534 Limestone Dr, Gainesville, VA 20155-4005 | 2006-10-19 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on NORTH GEORGIA DENTAL SEDATION CENTER.
| 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.