KRAGOR ORTHODONTICS LLC


Address: 1816 Eagle Dr, Suite 100-b, Woodstock, GA 30189-8272
Phone: 2068548585

KRAGOR ORTHODONTICS LLC (NPI# 1306203427) 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) 1306203427
Entity Type Organization
Organization Name KRAGOR ORTHODONTICS LLC
Practice Address 1816 Eagle Dr
Suite 100-b
Woodstock
GA 30189-8272
Practice Telephone 2068548585
Mailing Telephone 2068548585
Enumeration Date 2016-01-20
Last Update Date 2016-01-20
Authorized Official Name DR. AMBRE ANN KRAGOR (ORTHODONTIST)
Authorized Official Telephone 2068548585
Authorized Official Credential DDS, MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
DN014936 GA Dental Providers
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
DN014935 GA Dental Providers

Office Location

Street Address 1816 EAGLE DR
SUITE 100-B
City WOODSTOCK
State GA
Zip Code 30189-8272

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013997139 Ross Joseph Brakeville Physical Therapist 1816 Eagle Dr, Building 100, Suite C, Woodstock, GA 30189-8272 2006-01-17
1336420017 Robert Riesing Physical Therapist 1816 Eagle Dr, Suite C, Woodstock, GA 30189-8272 2011-09-08
1346540432 Park Pediatric Dentistry of Woodstock, LLC Dentist 1816 Eagle Dr, Suite 200-c, Woodstock, GA 30189-8272 2010-10-24
1750514295 Eagle Drive Family Medicine PC General Practice 1816 Eagle Dr, Suite 200-b, Woodstock, GA 30189-8272 2009-09-01
1710022942 Julius Park Dentist 1816 Eagle Dr, 200-c, Woodstock, GA 30189-8272 2007-02-21
1972659332 Pt Solutions of Acworth, LLC Physical Therapist 1816 Eagle Dr, Building 100, Suite C, Woodstock, GA 30189-8272 2007-01-26
1538210695 Scott Harden Dentist 1816 Eagle Dr, Bldg 200 Ste A, Woodstock, GA 30189-8272 2007-01-16
1548299332 Richard Leon Manrique Emergency Medicine 1816 Eagle Dr, Suite 200-b, Woodstock, GA 30189-8272 2006-07-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801494356 Susan Iruku Pharmacist 12050 Ga-92 #112, Woodstock, GA 30189 2020-10-15
1598267437 Kelly Sierra Nurse Practitioner 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 2018-03-07
1548770449 Chandra Johnson Nurse Practitioner 295 Molly Lane Ste 150, Woodstock, GA 30189 2017-10-05
1083133912 Amanda Bostock Sowisdral Physician Assistant 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 2017-09-12
1780101659 Laura C Koch Woodstock LLC Dba Fountain View Dentistry Dentist 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 2017-08-23
1265954788 Vicky Morton Bryan Nurse Practitioner 422 Sycamore Trail, Woodstock, GA 30189 2017-07-17
1063933588 Marietta Eye Clinic, Pa Optometrist 2990 Eagle Dr Ste 110, Woodstock, GA 30189 2017-07-06
1275914749 Nrup Tolat Podiatrist 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 2015-06-10
1558781534 Mary Jansson Carmon Nurse Practitioner 1000 Towne Lake Pkwy, Woodstock, GA 30189 2014-04-17
1518388941 Afc Physicians of Georgia, PC General Practice 6440 Bells Ferry Rd, Woodstock, GA 30189 2014-01-03
Find all providers in zip 30189

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982916755 Jeffrey Michael Segnere Dentist 2054 Eagle Dr, Suite 120, Woodstock, GA 30189-6994 2010-07-09
1447375654 Michael D'armond Williams Dentist 145 Towne Lake Pkwy, Suite 201, Woodstock, GA 30188-4847 2007-03-20
1710997002 Kirk H Christensen Dentist 226 W Judd St, Woodstock, IL 60098-3158 2006-08-09
1326340407 John Iaculli Dentist 2230 Towne Lake Pkwy, Building 1100, Ste 100, Woodstock, GA 30189-5540 2010-11-23
1326349945 Family Orthodontics of Ws, LLC Dentist 2230 Towne Lake Pkwy, Building 1100, Ste 100, Woodstock, GA 30189-5540 2010-11-12
1992990873 Dustin Shane Tipton Dentist 2230 Towne Lake Pkwy, Bldg 1100 Suite 100, Woodstock, GA 30189 2007-09-13
1407061286 J. Jeff Kincaid, Dmd, Ms Dentist 355 Parkway 575, Suite 200, Woodstock, GA 30188-3882 2007-05-14
1083834063 Kevin T Spillane Dentist 335 Parkway 575, Suite 200, Woodstock, GA 30188-6433 2007-05-01
1730215492 Joseph Jeffrey Kincaid Dentist 355 Parkway 575, Suite 200, Woodstock, GA 30188-3882 2007-02-26
1518035849 Andrew Dean Chen Dentist 12195 Highway 92, Suite 148, Woodstock, GA 30188-3602 2006-12-04
Find all providers in WOODSTOCK

Competitor

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City WOODSTOCK
Zip Code 30189

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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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