DENTURES AND FAMILY DENTISTRY (NPI# 1396071270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396071270 |
| Entity Type | Organization |
| Organization Name | DENTURES AND FAMILY DENTISTRY |
| Other Organization Name | SMILES AT STONE MOUNTAIN FESTIVAL |
| Practice Address |
1825 Rockbridge Rd Suite 14 C Stone Mountain GA 30087-3335 |
| Practice Telephone | 6786722720 |
| Practice Fax Number | 6786722722 |
| Mailing Telephone | 7704827800 |
| Mailing Fax Number | 7704827830 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | DR. JIMMIE LEE BLOUNT (OWNER/ DOCTOR) |
| Authorized Official Telephone | 7704827800 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | DN11497 | GA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000749504A | 05 |
| Other Name | Type Code |
|---|---|
| Smiles At Stone Mountain Festival | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215482765 | Dentures and Family Dentistry | Dentist | 5156 Cook St Ne, Covington, GA 30014-2630 | 2016-08-24 |
| Street Address |
1825 ROCKBRIDGE RD SUITE 14 C |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922025345 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2006-07-16 |
| 1780284331 | Carmen Orizabal | Pharmacist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2020-10-31 |
| 1336749795 | Najrul Usta | Pharmacist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2020-10-27 |
| 1477905594 | Gamble Dentalsmart, PC | Dentist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2016-07-13 |
| 1346626686 | Robin Mcghee Od PC | Optometrist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2015-08-10 |
| 1164566931 | Robin Mcghee | Optometrist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2007-02-16 |
| 1932299534 | Wal-mart Stores East, Lp | Technician/Technologist | 1825 Rockbridge Rd, Stone Mountain, GA 30087-3335 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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|---|---|---|---|---|
| 1457565541 | Dekalbcommunityserviceboard | Health Maintenance Organization | 1662 Kanawha Dr, Stone Mountain, GA 30087-2116 | 2007-05-09 |
| 1578569323 | Stone Mountain Immediate Medical Care, Inc. | Health Maintenance Organization | 833 N Hairston Rd, Stone Mountain, GA 30083-3423 | 2005-06-27 |
| 1992958722 | Stone Mountain Dental | Health Maintenance Organization | 4813 Rockbridge Rd Ste 26, Stone Mountain, GA 30083-4200 | 2008-10-24 |
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| 1629589304 | Wellcare of Georgia, Inc. | Health Maintenance Organization | 211 Perimeter Center Pkwy Ne Ste 800, Atlanta, GA 30346-1304 | 2017-10-20 |
| 1679005011 | Chadon Health Services Inc. | Health Maintenance Organization | 2180 Satelite Blvd, Ste 400, Duluth, GA 30097 | 2017-04-03 |
| 1568901353 | Islands Chiropractic Clinic | Health Maintenance Organization | 461 Johnny Mercer Blvd. Suite3, Savannah, GA 31410 | 2017-02-14 |
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| 1184167637 | Lena M. Mcmanus, Eds Lpc Ncc LLC | Health Maintenance Organization | 41 Muscadine Ct, Douglasville, GA 30134-5412 | 2016-11-30 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
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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.