FOUNTAIN OAKS DENTAL P.C.


Address: 3763 Roswell Rd Ne, Atlanta, GA 30342-4414
Phone: 4042612211

FOUNTAIN OAKS DENTAL P.C. (NPI# 1275684797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275684797
Entity Type Organization
Organization Name FOUNTAIN OAKS DENTAL P.C.
Practice Address 3763 Roswell Rd Ne
Atlanta
GA 30342-4414
Mailing Address 4920 Roswell Rd Ne Ste 13a
Atlanta
GA 30342-2636
Practice Telephone 4042612211
Practice Fax Number 4042611390
Mailing Telephone 4042612211
Enumeration Date 2007-01-12
Last Update Date 2008-04-24
Authorized Official Name WILLIAM ANDREW LITTON (VICE PRESIDENT)
Authorized Official Telephone 6788791177
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service Managed Care Organizations

Office Location

Street Address 3763 ROSWELL RD NE
City ATLANTA
State GA
Zip Code 30342-4414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942351804 Christopher Allen Cansler Dentist 3763 Roswell Rd Ne, Atlanta, GA 30342-4414 2007-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1255945184 Jennifer Lynne Cole Behavior Technician 5555 Glenridge Con Suite 200, Atlanta, GA 30342 2020-09-08
1093336232 Van Tran Respiratory Therapist, Registered 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 2020-04-28
1356978340 Twyla Douglas Jackson I Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 2020-03-27
1760013411 Emily Hamm Dietitian, Registered 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 2020-01-31
1043855984 Mackenzie Tucker Wayda Registered Nurse 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 2019-11-14
1386288454 Tiauna Lashun Cochman Psychologist 1307 Glenridge Dr, Sandy Springs, GA 30342 2019-11-01
1164074399 Stephen J. White Hearing Instrument Specialist 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 2019-07-09
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1760954705 Mishele Walker LLC Counselor 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 2018-12-31
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811597461 Nanoresearch, Inc Point of Service 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 2020-10-31
1992248298 New Legacy Counseling and Training Center Point of Service 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 2016-11-18
1932575438 Marion Hargett Point of Service 502 Pryor St Sw, Atlanta, GA 30312-2760 2015-08-19
1447688163 Atlanta Integrated Medical Health Center Point of Service 626 Parkway Dr Ne, Atlanta, GA 30308-2614 2013-10-15
1699016279 Pamela Rene Luxurious Hair Salon Point of Service 1151 Hammond Dr Ne, Suite 200, Atlanta, GA 30346-1524 2013-03-07
1265593446 Lacy and Company Point of Service 1420 Foxhall Ln Se Apt 8, Atlanta, GA 30316-3474 2006-12-12
1659901452 Ms. Guity, Lcsw. LLC Point of Service 2636 Martin Luther King Jr Dr Sw, Atlanta, GA 30311-1634 2020-01-21
1073944997 Cosmetic Family & Implant Dentistry of Atlanta Point of Service 3350 Riverwood Pkwy Se, Suite 2120, Atlanta, GA 30339-6401 2013-12-03
1144660283 Anita S. Gordon Point of Service 2814 Buford Hwy Ne, Atlanta, GA 30329-2103 2013-07-03
1902167935 Divinity Internal Medicine & Associates Inc. Point of Service 494 Boulevard Se, Atlanta, GA 30312-3426 2012-06-06
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Competitor

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City ATLANTA
Zip Code 30342

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Dataset Information

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.

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