PEDIATRIC DENTAL ASSOCIATES OF ATLANTA (NPI# 1245879006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245879006 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL ASSOCIATES OF ATLANTA |
| Practice Address |
525 Pleasant Home Rd Augusta GA 30907-3525 |
| Practice Telephone | 7068606443 |
| Mailing Telephone | 7068606443 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Authorized Official Name | DR. AKINDEKO OBEBE (PRESIDENT) |
| Authorized Official Telephone | 2168498097 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Augusta Children's Dental Center | Doing Business As Name - Organization |
| Street Address |
525 PLEASANT HOME RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982644142 | Andrew Durbin Chandler | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2006-06-07 |
| 1023413481 | Tobin Trotter | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2014-10-28 |
| 1811124969 | Akindeko D Obebe | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2009-06-16 |
| 1558486761 | T. Barrett Trotter, Dmd, PC | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| 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 |
|---|---|---|---|---|
| 1497198154 | Brittany Rose Waters | Dentist | 2070 Reserve Ln, Augusta, GA 30907-6215 | 2013-04-12 |
| 1366708653 | June Murakaru | Dentist | 1120 15th St # Gc-2133, Augusta, GA 30912-0004 | 2012-04-11 |
| 1922188085 | Phillip Hickson Miller | Dentist | 104 Kings Chapel Rd, Augusta, GA 30907-4001 | 2006-10-16 |
| 1699873786 | I Gary Katcoff | Dentist | 3559 Wheeler Road, Augusta, GA 30909 | 2006-09-20 |
| 1306868872 | Michael Milano | Dentist | 1430 John Wesley Gilbert Drive Au Dental Associates, Augusta, GA 30912-7450 | 2006-07-24 |
| 1982644142 | Andrew Durbin Chandler | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2006-06-07 |
| 1164490918 | Center for Pediatric Dentistry, PC | Dentist | 1243 Augusta West Pkwy, Augusta, GA 30909-1807 | 2006-03-09 |
| 1801433750 | Mainely Kids & Teens, LLC | Dentist | 8 Shuman Ave, Augusta, ME 04330-7751 | 2019-12-10 |
| 1669815296 | Andrew Shoemaker | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2013-04-13 |
| 1972851954 | Michael Lee Minyard | Dentist | 1120 15th St, Augusta, GA 30912-2960 | 2012-08-22 |
| Find all providers in AUGUSTA | ||||
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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.