DENTALWISE, LLC (NPI# 1316366271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316366271 |
| Entity Type | Organization |
| Organization Name | DENTALWISE, LLC |
| Practice Address |
2635 Lee Rd Ste C4 Lithia Springs GA 30122-3356 |
| Practice Telephone | 7704899141 |
| Practice Fax Number | 7704899138 |
| Mailing Telephone | 7704899141 |
| Mailing Fax Number | 7704899138 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | DR. RANDALL LITTLE (OWNER) |
| Authorized Official Telephone | 7708539244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003141558A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | DENTALWISE, LLC | One Corporate Dr Ste 404, Minneapolis, MN 55401 |
| Street Address |
2635 LEE RD STE C4 |
| City | LITHIA SPRINGS |
| State | GA |
| Zip Code | 30122-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043798838 | Vivian Adu-aboagye | Registered Nurse | 7603 Forest Glen Way, Lithia Springs, GA 30122 | 2018-08-02 |
| 1588150510 | Vanessa Levet Hayes | Driver | 2100 Mesa Valleyway Apt1507, Lithiasprings, GA 30122 | 2018-07-02 |
| 1699279141 | Ariel Shell | Massage Therapist | 2060 Rolling Rock Ct, Lithia Springs, GA 30122 | 2018-03-20 |
| 1013323872 | First Choice Supportive Services, Incorporated | Personal Emergency Response Attendant | 3423 Summerlin Parkway, Lithia Springs, GA 30122 | 2014-07-01 |
| 1245659275 | Thumbs-up Transportation | Non-emergency Medical Transport (VAN) | 1517 Fenmore St., Lithia Springs, GA 30122 | 2014-04-07 |
| 1205262789 | Diana C Harris | Counselor | 561 Thornton Rd. Unit R, Lithia Springs, GA 30122 | 2013-09-17 |
| 1497910475 | Valissa Ann Dixon | Counselor | 6852 Florence Drive, Lithia Springs, GA 30122 | 2008-07-18 |
| 1548473267 | Lawrence Vision, Inc. | Ophthalmology | 939 Bob Arnold Blvd., Suite G, Lithia Springs, GA 30122 | 2007-05-08 |
| 1790903342 | Nahid Bahrami | Dentist | 524 Thornton Rd., Lithia Springs, GA 30122 | 2007-04-20 |
| 1831231828 | Harley Alan Belinky | Dentist | 1515 Westfork Dr., Lithia Springs, GA 30122 | 2007-02-13 |
| Find all providers in zip 30122 | ||||
| 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 |
|---|---|---|---|---|
| 1396074589 | Jeanette M. Young | Dentist | 2635 Lee Rd, Suite C-4, Lithia Springs, GA 30122-3356 | 2009-12-17 |
| 1700977360 | Atlanta West Periodontics and Dental Implants PC | Dentist | 2168 Skyview Drive, Lithia Springs, GA 30122 | 2006-09-27 |
| 1033220215 | Erin M Redwine | Dentist | 540 Thornton Rd, Lithia Springs, GA 30122-1591 | 2006-08-31 |
| 1407203847 | Cassandra Stewart | Dentist | 540 Thornton Rd, Lithia Springs, GA 30122 | 2016-05-16 |
| 1720452832 | Sweet Water Family Dentistry | Dentist | 1515 Westfork Dr, Suite A, Lithia Springs, GA 30122-1599 | 2015-11-30 |
| 1821465691 | Value Smiles | Dentist | 2635 Lee Rd, Suite C4, Lithia Springs, GA 30122-3356 | 2015-08-27 |
| 1770768004 | Tameka Hall | Dentist | 560 Thornton Rd, Suite 220, Lithia Springs, GA 30122-1655 | 2008-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920445 | Islands Family Dental, LLC | Dentist | 3 Wilmington Village Way, Savannah, GA 31410-3700 | 2020-10-19 |
| 1528665486 | Mount Vernon Dental Group, LLC | Dentist | 2472 Jett Ferry Rd Ste 430, Dunwoody, GA 30338-3059 | 2020-10-05 |
| 1144835570 | Affordable Dentures & Implants of Georgia II, LLC | Dentist | 3675 Satellite Blvd Ste 700, Duluth, GA 30096-2309 | 2020-09-11 |
| 1164037800 | Darby Kathryn Gentry | Dentist | 3585 Lawrenceville Suwanee Rd # 101-a, Suwanee, GA 30024-7058 | 2020-09-10 |
| 1437763380 | Ah Chong | Dentist | 755 Commerce Dr Ste 513, Decatur, GA 30030-2618 | 2020-09-08 |
| 1992319271 | Jillian Nicole Felton | Dentist | 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 | 2020-09-03 |
| 1295347748 | Elizabeth W Muraya | Dentist | 5218 Jimmy Lee Smith Pkwy Ste 100, Hiram, GA 30141-2747 | 2020-08-17 |
| 1942818182 | Prasanthi Pattabhi | Dentist | 2993 Normandy Rdg, Lawrenceville, GA 30044-7869 | 2020-07-14 |
| 1700404522 | Rocio Jacobo Rubio | Dentist | 23 Old Atlanta Hwy Ste 200, Newnan, GA 30263-6341 | 2020-07-08 |
| 1265059364 | Abboss Sharifzadeh | Dentist | 4090 Jiles Rd Nw, Kennesaw, GA 30144-1105 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | LITHIA SPRINGS |
| Zip Code | 30122 |
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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.