DR. GERRIT CHARLES HAGMAN (NPI# 1306273172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306273172 |
| Entity Type | Individual |
| Full Name | DR. GERRIT CHARLES HAGMAN |
| Credential | D.D.S. |
| Practice Address |
6190 Rivercliffe Dr Atlanta GA 30328-3711 |
| Practice Telephone | 4042559215 |
| Mailing Telephone | 4042559215 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN006636 | GA | Dental Providers |
| Street Address |
6190 RIVERCLIFFE DR |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073972584 | Kara Kramer | Dentist | 2970 Peachtree Rd Nw Ste 622, Atlanta, GA 30305-2115 | 2016-02-12 |
| 1699104927 | Nisha Maniar Kancherla | Dentist | 300 W Wieuca Rd Ne Suite 100, Atlanta, GA 30342-9701 | 2013-11-07 |
| 1306188156 | Brock J Pumphrey I | Dentist | 999 Peachtree St Ne Ste 710, Atlanta, GA 30309-3964 | 2013-03-20 |
| 1760732697 | Maria Andreina Izarra | Dentist | 199 14th St Ne, #2205, Atlanta, GA 30309-3643 | 2012-09-18 |
| 1538370143 | Abe Shuster | Dentist | 999 Peachtree St, Suite 710, Atlanta, GA 30309-3915 | 2007-05-25 |
| 1962628776 | Frank P. Benson | Dentist | 6105 Peachtree Dunwoody Rd., Building C Suite 245, Atlanta, GA 30328 | 2007-04-18 |
| 1245351089 | Aubrey Scher | Dentist | 3648 Chamblee Tucker Rd, Atlanta, GA 30341-4403 | 2007-04-02 |
| 1386763464 | Mark Thomas Litterer | Dentist | 3648 Chamblee Tucker Rd Ste B, Atlanta, GA 30341-4403 | 2007-03-28 |
| 1326176991 | Piedmont Periodontics | Dentist | 222 12th Street, Suite 1b, Atlanta, GA 30309-5044 | 2007-03-02 |
| 1659409878 | William Benjamin Zinney | Dentist | 3280 Northside Pkwy Nw, # 301, Atlanta, GA 30327-2253 | 2007-03-01 |
| Find all providers in ATLANTA | ||||
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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.