JACK GENTRY JR. (NPI# 1386853042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386853042 |
| Entity Type | Individual |
| Full Name | JACK GENTRY JR. |
| Practice Address |
644 Cherokee St Ne Marietta GA 30060-8910 |
| Practice Telephone | 7704246569 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9929 | GA | Dental Providers |
| Street Address |
644 CHEROKEE ST NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-8910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851516975 | Nicholas D Johnson | Dentist | 644 Cherokee St Ne, Marietta, GA 30060-8910 | 2007-04-16 |
| 1700095486 | Marietta Dental Associates.inc | Dentist | 644 Cherokee St Ne, Marietta, GA 30060-8910 | 2007-05-21 |
| 1144439803 | John Earl Adkisson Jr. | Dentist | 644 Cherokee St Ne, Marietta, GA 30060-8910 | 2007-05-21 |
| 1861601536 | Bryan Robinson | Dentist | 644 Cherokee St Ne, Marietta, GA 30060-8910 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| 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 |
|---|---|---|---|---|
| 1538714639 | Dionne Joi Wells | Dentist | 3805 Dallas Hwy Sw Ste 806, Marietta, GA 30064-1620 | 2019-08-06 |
| 1346736931 | Graham A Kellams | Dentist | 2655 Dallas Hwy Sw Ste 510, Marietta, GA 30064-7520 | 2018-07-06 |
| 1972090504 | Waldron and Lee Dentistry LLC | Dentist | 3020 Roswell Rd Ste 100, Marietta, GA 30062-4987 | 2018-04-19 |
| 1245750165 | Paul Douglas Martin | Dentist | 270 Cobb Pkwy S Ste 180, Marietta, GA 30060-6520 | 2017-06-21 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| 1225577737 | Holly Markwordt | Dentist | 1136 Taliwa Trl Ne, Marietta, GA 30068-2389 | 2017-02-16 |
| 1578000444 | Engineered Smiles, LLC | Dentist | 670 Johnson Ferry Rd, Marietta, GA 30068-4627 | 2017-01-30 |
| 1194260679 | Sage Dental Group of Georgia LLC | Dentist | 4811 Lower Roswell Rd, Suite 108, Marietta, GA 30068-4372 | 2016-12-20 |
| 1396103537 | Hira Rana | Dentist | 1721 Powder Springs Rd Sw, Suite 103, Marietta, GA 30064-4879 | 2016-02-02 |
| 1437535325 | Daniel Van Galder | Dentist | 361 N Marietta Pkwy Ne, Marietta, GA 30060-1545 | 2015-08-03 |
| Find all providers in MARIETTA | ||||
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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.