HEARTLAND DENTAL CARE OF GEORGIA (NPI# 1245533868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245533868 |
| Entity Type | Organization |
| Organization Name | HEARTLAND DENTAL CARE OF GEORGIA |
| Other Organization Name | NORTH GEORGIA SMILES |
| Practice Address |
1595 Peachtree Pkwy Ste 207 Cumming GA 30041-9583 |
| Practice Telephone | 7708888282 |
| Mailing Telephone | 7708888282 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |
| Authorized Official Name | MARIE KUHL (INSURANCE/CREDENTIALING) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEARTLAND DENTAL CARE OF GEORGIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| North Georgia Smiles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1407122799 | Heartland Dental Care of Georgia | Dentist | 290 Highway 314 Ste A, Fayetteville, GA 30214-7813 | 2012-03-30 |
| 1255687794 | Heartland Dental Care of Georgia | Dentist | 600 Galleria Pkwy Se Ste 800, Atlanta, GA 30339-5992 | 2012-08-02 |
| Street Address |
1595 PEACHTREE PKWY STE 207 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-9583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1255992517 | Maya Basu | Dentist | 1200 Bald Ridge Marina Rd Ste 200, Cumming, GA 30041-8526 | 2019-06-26 |
| 1760996656 | Cumming Dental Associates, PC | Dentist | 7185 Colfax Ave., Cumming, GA 30040 | 2017-11-30 |
| 1669812558 | Kylee Bishop | Dentist | 285 Elm St Ste 301, Cumming, GA 30040-8233 | 2013-06-25 |
| 1225310592 | Iryna Korniyenko Yelisetty | Dentist | 1475 Peachtree Pkwy Ste C3, Cumming, GA 30041-9793 | 2011-09-13 |
| 1700187549 | Dentistry for Children of Cumming I, LLC | Dentist | 5071 Post Rd Ste 304, Cumming, GA 30040-5442 | 2010-11-10 |
| 1922235399 | Victor A Robinson | Dentist | 1530 Market Place Blvd, Cumming, GA 30041-7926 | 2009-06-12 |
| 1831335728 | Elaine C Powalka | Dentist | 1970 Habersham Marina Rd, Cumming, GA 30041 | 2008-12-23 |
| 1679793236 | Clyde G Steed Jr. | Dentist | 2350 Atlanta Hwy, Suite 100, Cumming, GA 30040-8026 | 2007-04-26 |
| 1841315710 | Colin Walters | Dentist | 208 Pirkle Ferry Rd Ste A, Cumming, GA 30040-2526 | 2007-03-20 |
| Find all providers in CUMMING | ||||
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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.