JEROME GARDNER (NPI# 1316148588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316148588 |
| Entity Type | Individual |
| Full Name | JEROME GARDNER |
| Practice Address |
2960 Hardman Court Atlanta GA 30305 |
| Practice Telephone | 4042618880 |
| Mailing Telephone | 4042618880 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN009727 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295715530 | Jerome M Gardner | Dentist | 970 Sunrise Hwy, West Babylon, NY 11704-6110 | 2006-01-20 |
| 1811978067 | Jerome B. Gardner | Obstetrics & Gynecology | 4414 Lake Boone Trl, Ste 205, Raleigh, NC 27607-7513 | 2005-11-07 |
| Street Address |
2960 HARDMAN COURT |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
| 1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
| 1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
| 1821440587 | Monica Martinez Dicristina | Counselor | 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 | 2016-07-06 |
| 1164879532 | Brittany Nicole Albritton | Physical Therapist | 3169 Maple Drive Ne, Atlanta, GA 30305 | 2016-05-16 |
| 1588039275 | Alaina Blevins | Physician Assistant | 240 Pharr Rd Ne, Atlanta, GA 30305 | 2015-12-07 |
| 1558750141 | A2h2 | Clinic/Center | 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 | 2015-01-20 |
| 1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
| Find all providers in zip 30305 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457919987 | Matthew Joseph Giordano | Dentist | 3525 Piedmont Rd Ne Bldg 5-408, Atlanta, GA 30305-1586 | 2019-05-30 |
| 1427519081 | Dentfirst, P.C. | Dentist | 530 17th St Nw Ste 340, Atlanta, GA 30318-5037 | 2019-03-27 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1336632454 | Daniela Lemoine | Dentist | 4920 Roswell Rd Ste 13a, Atlanta, GA 30342-2605 | 2018-06-13 |
| 1164912739 | Affordable Dentures & Implants - West Atlanta, P.C. | Dentist | 3695 Cascade Rd Sw Ste 550, Atlanta, GA 30331-2176 | 2018-05-18 |
| 1720595994 | Rss Michael Dierkes LLC | Dentist | 4920 Roswell Rd Ste 255, Atlanta, GA 30342-2686 | 2018-01-09 |
| 1093239170 | Shima Shahrokhi | Dentist | 195 Grogans Lndg, Atlanta, GA 30350-3131 | 2017-07-31 |
| 1366972556 | Hope Marshall | Dentist | 790 Glenwood Ave Se Ste 210, Atlanta, GA 30316-2024 | 2017-06-19 |
| 1710416466 | Sage Dental Group of Georgia LLC | Dentist | 1 Baltimore Pl Nw Ste 403, Atlanta, GA 30308-2116 | 2017-06-07 |
| 1780111617 | John Dennis Harvey | Dentist | 3350 W Stubbs Rd, Atlanta, GA 30349-1021 | 2017-05-23 |
| 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.