THE PACIFIC COAST GROUP (NPI# 1376929984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376929984 |
| Entity Type | Organization |
| Organization Name | THE PACIFIC COAST GROUP |
| Other Organization Name | DOVE DENTAL SPECIALISTS |
| Practice Address |
2883 North Decatur Rd. Suite F Decatur GA 30033 |
| Practice Telephone | 4042997411 |
| Practice Fax Number | 4042995466 |
| Mailing Telephone | 4042997411 |
| Mailing Fax Number | 4042995466 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |
| Authorized Official Name | DR. AMY MATHEW (OWNER) |
| Authorized Official Telephone | 4042997411 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN014228 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dove Dental Specialists | Doing Business As Name - Organization |
| Street Address |
2883 NORTH DECATUR RD. SUITE F |
| City | DECATUR |
| State | GA |
| Zip Code | 30033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801374871 | Stephanie W Teichmiler Dmd PC | Clinic/Center | 1316 Somerville Rd Se Ste 2, Decatur, AL 35601-4309 | 2018-08-01 |
| 1073985925 | Decatur Dental, LLC | Clinic/Center | 68 Fourth Ave, Decatur, MS 39327-9713 | 2015-10-30 |
| 1649836065 | Sven Hoge, Dmd, Pllc | Clinic/Center | 501 S Washburn St, Decatur, TX 76234-1637 | 2019-05-10 |
| 1396213039 | Devan Dental LLC | Clinic/Center | 4806 Flat Shoals Pkwy, Decatur, GA 30034-5205 | 2018-11-12 |
| 1104248137 | Chapel Hill Orthodontics | Clinic/Center | 4919 Flat Shoals Pkwy, 210, Decatur, GA 30034-5210 | 2014-01-10 |
| 1295060903 | Kevin M. Artime Dmd Ltd | Clinic/Center | 1353 E Mound Rd, Suite 102, Decatur, IL 62526-9345 | 2009-10-14 |
| 1942535091 | Cassandra G. Brackett, D.d.s.,p.c. | Clinic/Center | 3300 Memorial Dr, Suite D-3, Decatur, GA 30032-2700 | 2009-10-07 |
| 1568621274 | Kevin F Magid Dds PC | Clinic/Center | 814 Church St, Decatur, GA 30030 | 2008-06-06 |
| 1811169014 | Paul Lyle Glasser Dds, PC | Clinic/Center | 5243 Snapfinger Woods Dr, Suite 107, Decatur, GA 30035-4000 | 2008-03-27 |
| 1144374851 | Heard & Heard Dental Associates, P.C. | Clinic/Center | 4806 Flat Shoals Pkwy, Decatur, GA 30034-5205 | 2007-01-22 |
| Find all providers in DECATUR | ||||
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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.