NORTHLAKE DENTAL PARTNERS (NPI# 1336250406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336250406 |
| Entity Type | Organization |
| Organization Name | NORTHLAKE DENTAL PARTNERS |
| Practice Address |
2300 Henderson Mill Rd Ne Suite 401 Atlanta GA 30345-2745 |
| Practice Telephone | 7709383277 |
| Practice Fax Number | 7709341240 |
| Mailing Telephone | 7709383277 |
| Mailing Fax Number | 7709341240 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANN K WILSON (OFFICE MANAGER) |
| Authorized Official Telephone | 7709383277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
GA | Dental Providers |
| Street Address |
2300 HENDERSON MILL RD NE SUITE 401 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023067725 | James O. Wells | Internal Medicine | 2300 Henderson Mill Rd Ne, Suite 421, Atlanta, GA 30345-2745 | 2006-05-09 |
| 1700031226 | Hamlin Psychological Services | Psychologist | 2300 Henderson Mill Rd Ne, Suite 210, Atlanta, GA 30345-2745 | 2008-11-25 |
| 1376760454 | Rae Ann Heenan | Dentist | 2300 Henderson Mill Rd Ne, Suite 401, Atlanta, GA 30345-2745 | 2007-04-19 |
| 1881811982 | Bruce E Ashendorf | Dentist | 2300 Henderson Mill Rd Ne, Suite 401, Atlanta, GA 30345-2745 | 2007-04-19 |
| 1861536278 | Debra Denise King | Counselor | 2300 Henderson Mill Rd Ne, Suite 411, Atlanta, GA 30345-2745 | 2007-02-18 |
| 1508928649 | Careplus Inc | Home Health | 2300 Henderson Mill Rd Ne, Suite 404, Atlanta, GA 30345-2745 | 2006-12-14 |
| 1528129541 | Columbus Medical Services | Case Management | 2300 Henderson Mill Rd Ne, Suite 121, Atlanta, GA 30345-2745 | 2006-12-13 |
| 1083629737 | Patricia H Soper | Psychologist | 2300 Henderson Mill Rd Ne, Suite 403, Atlanta, GA 30345-2745 | 2006-07-30 |
| 1073537940 | Paul F. Austin | Counselor | 2300 Henderson Mill Rd Ne, Suite 411, Atlanta, GA 30345-2745 | 2006-07-26 |
| 1679596357 | Matthew Robert Gray | Dentist | 2300 Henderson Mill Rd Ne, Ste 401, Atlanta, GA 30345-2745 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
| Find all providers in zip 30345 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079143 | Bimala Gharti | Dentist | 7310 Village Creek Trce, Atlanta, GA 30328-6763 | 2020-09-28 |
| 1699385062 | Hetal Trivedi | Dentist | 930 Spring St Nw Unit 915-a, Atlanta, GA 30309-3816 | 2020-07-31 |
| 1013548577 | Dental Care 24 7 Staffing Atlanta, LLC | Dentist | 285 Centennial Olympic Park Dr Nw # Cu-2b, Atlanta, GA 30313-1834 | 2020-02-03 |
| 1013547173 | Sha-vashtiy Young-ufeli | Dentist | 587 Virginia Ave Ne Unit 5, Atlanta, GA 30306-3695 | 2020-01-16 |
| 1588210207 | Edgewood Smiles Dentistry, PC | Dentist | 144 Moreland Ave Ne Ste A, Atlanta, GA 30307-2660 | 2019-08-19 |
| 1912552464 | Casey Jean Shuster | Dentist | 999 Peachtree St Ne Ste 715, Atlanta, GA 30309-3964 | 2019-08-01 |
| 1306404389 | Gabrielle Coe | Dentist | 205 S Race St, Atlanta, IL 61723-7586 | 2019-06-04 |
| 1417513730 | Jordan Alexander Reznik | Dentist | 236 Perimeter Center Pkwy Ne Ste C-30, Atlanta, GA 30346-1402 | 2019-05-13 |
| 1316419666 | Vbdc of Woodstock, LLC | Dentist | 5909 Peachtree Dunwoody Rd Ste 800, Atlanta, GA 30328-8103 | 2018-12-27 |
| 1487136867 | Abby Lynn Halpern | Dentist | 1080 Peachtree St Ne Unit 2604, Atlanta, GA 30309-6836 | 2018-09-03 |
| 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.