JOHN M. DORIS,D.D.S.,P.A. (NPI# 1306056601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306056601 |
| Entity Type | Organization |
| Organization Name | JOHN M. DORIS,D.D.S.,P.A. |
| Other Organization Name | JOHN M DORIS, D.D.S.,P.A. |
| Practice Address |
1121 Johnson Ferry Rd 320 Marietta GA 30068-5425 |
| Practice Telephone | 7709778644 |
| Practice Fax Number | 7709717953 |
| Mailing Telephone | 7709778644 |
| Mailing Fax Number | 7709717953 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN MARVIN DORIS (PRESIDENT) |
| Authorized Official Telephone | 7709778644 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN007157 | GA | Dental Providers |
| Other Name | Type Code |
|---|---|
| John M Doris, D.D.S.,P.A. | Doing Business As Name - Organization |
| Street Address |
1121 JOHNSON FERRY RD 320 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195013 | Susan Stephen Glander | Obstetrics & Gynecology | 1121 Johnson Ferry Rd, Suite 150, Marietta, GA 30068-5425 | 2005-09-23 |
| 1801224167 | Roquin Pain Center | Clinic/Center | 1121 Johnson Ferry Rd, Suite 340, Marietta, GA 30068-5425 | 2013-10-24 |
| 1255776134 | Optimal Health Care, LLC | Internal Medicine | 1121 Johnson Ferry Rd, Suite 205, Marietta, GA 30068-5425 | 2013-05-06 |
| 1215270368 | Julie C Tanner | Dentist | 1121 Johnson Ferry Rd, Suite 450, Marietta, GA 30068-5425 | 2013-03-27 |
| 1396000279 | Premier Podiatry-east Cobb | Podiatrist | 1121 Johnson Ferry Rd, Building 1, Suite 215, Marietta, GA 30068-5425 | 2012-07-07 |
| 1447541206 | Stephen Mitchell Martin | Emergency Medicine | 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 | 2011-04-28 |
| 1477866234 | Vanessa D Dunn | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 | 2010-07-22 |
| 1376798272 | Jennifer Louise Billingsley | Dental Assistant | 1121 Johnson Ferry Rd, Suite 320, Marietta, GA 30068-5425 | 2008-11-20 |
| 1093981227 | Deanna M Fetsch | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 | 2008-05-07 |
| 1821264516 | Sharon Lebedin | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 | 2008-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828765 | Sharma Orthodontics LLC | Dentist | 3535 Roswell Rd Ste 53, Marietta, GA 30062-8828 | 2020-10-15 |
| 1407249725 | Zachary Joseph Levin | Dentist | 1229 Johnson Ferry Rd Ste 100, Marietta, GA 30068-2778 | 2015-03-11 |
| 1972724177 | Jeffrey Lynn Gilmore | Dentist | 510 Arends Ridge Rd, Marietta, OH 45750-5332 | 2007-05-02 |
| 1295886927 | Wendy J Katz | Dentist | 1229 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-2720 | 2007-01-16 |
| 1881603041 | Mark W Johnston | Dentist | 1070 Woodlawn Dr Ne, Suite 200, Marietta, GA 30068-4264 | 2006-08-05 |
| 1649210162 | William K Farrar Jr. | Dentist | 3770 Due West Rd Nw, Suite 100, Marietta, GA 30064-1016 | 2006-06-07 |
| 1326026410 | Morris Joseph Soriano | Dentist | 4001 Canton Rd, Suite 3, Marietta, GA 30066-2739 | 2006-01-09 |
| 1952773947 | Integrity Orthodontics, LLC | Dentist | 3823 Roswell Rd, Suite 203, Marietta, GA 30062-6278 | 2015-10-29 |
| 1326416256 | Integrity Orthodontics | Dentist | 3823 Roswell Rd, Suite 203, Marietta, GA 30062-6278 | 2015-09-09 |
| 1184986887 | Laurie Ann Cavallaro | Dentist | 3823 Roswell Rd, Suite 203, Marietta, GA 30062-6278 | 2012-06-09 |
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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.