MS. DEBRA A MCCOLLISTER (NPI# 1205980273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205980273 |
| Entity Type | Individual |
| Full Name | MS. DEBRA A MCCOLLISTER |
| Credential | RDH |
| Practice Address |
427 Matthews Ave Carrollton GA 30117-3753 |
| Practice Telephone | 7708306821 |
| Mailing Telephone | 7708306821 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH009621 | GA | Dental Providers |
| Street Address |
427 MATTHEWS AVE |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588014021 | Kyle Johnson | Dental Hygienist | 1109 S Park St Ste 504, Carrollton, GA 30117-4449 | 2016-06-15 |
| 1326359464 | Bonnie Desha Hout | Dental Hygienist | 1404 Van Winkle Dr, Carrollton, TX 75007-1210 | 2010-06-23 |
| 1821219031 | Debbie Garrett | Dental Hygienist | 3012 E Hebron Pkwy, Ste 108, Carrollton, TX 75010-4428 | 2007-05-02 |
| 1841411055 | Danielle Travalini | Dental Hygienist | 3012 E Hebron Pkwy, Ste 108, Carrollton, TX 75010-4428 | 2007-05-02 |
| 1003037177 | Eric Fox | Dental Hygienist | 3012 E Hebron Pkwy, Ste 108, Carrollton, TX 75010-4428 | 2007-05-02 |
| 1801982913 | Melinda Gayle Marten | Dental Hygienist | 4364 N Josey Ln, Carrollton, TX 75010 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152197 | Leighann Elizabeth Rutland | Dental Hygienist | 119 Timberland Rd, Richmond Hill, GA 31324-4138 | 2020-10-23 |
| 1215543871 | Amy Lynnstarr Cohn | Dental Hygienist | 1252 Dunwoody Cv, Atlanta, GA 30338-2306 | 2020-09-18 |
| 1881214864 | Shante' L Mosley | Dental Hygienist | 2118 Belhaven Ln Se, Atlanta, GA 30315-6802 | 2020-04-20 |
| 1427687763 | Shelandra Barnes | Dental Hygienist | 3200 Highlands Pkwy Se Ste 110, Smyrna, GA 30082-5192 | 2020-04-08 |
| 1710516141 | Sara Jane Dever | Dental Hygienist | 955 Summerfield Dr, Cumming, GA 30040-1016 | 2020-04-07 |
| 1386273282 | Laranda Ninomiya | Dental Hygienist | 1595 Asheforde Dr, Marietta, GA 30068-1850 | 2020-04-03 |
| 1336778133 | Wazuri Deanna King | Dental Hygienist | 1505 W 3rd Ave Ste A, Albany, GA 31707-4420 | 2020-04-03 |
| 1669001467 | Pamela Cushenan | Dental Hygienist | 3000 Canton Hills Dr, Marietta, GA 30062-6746 | 2020-04-03 |
| 1285263095 | Judy Anne Stephenson | Dental Hygienist | 183 Paradise Blvd Ste 103b, Athens, GA 30607-1169 | 2020-04-03 |
| 1861021677 | Morristine Lynn Mcclain | Dental Hygienist | 3890 Redwine Rd Sw Ste 206, Atlanta, GA 30331-5583 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.