DR. NICHOLAS PHUNG (NPI# 1396172235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396172235 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS PHUNG |
| Credential | D.M.D |
| Practice Address |
1450 Sr 138 Conyers GA 30013 |
| Mailing Address |
1055 Paper Creek Dr Lawrenceville GA 30046-5358 |
| Practice Telephone | 4049324705 |
| Mailing Telephone | 4049324705 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN014688 | GA | Dental Providers |
| Street Address |
1450 SR 138 |
| City | CONYERS |
| State | GA |
| Zip Code | 30013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| 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 |
|---|---|---|---|---|
| 1841730686 | A. Amin PC | Dentist | 1096 West Ave Sw, Conyers, GA 30012-5244 | 2017-02-27 |
| 1841656246 | Pkr Dental LLC | Dentist | 1450 Highway 138 Se, Conyers, GA 30013-1285 | 2016-01-14 |
| 1376948182 | Latonya F. R. Gillespie | Dentist | 1910 Highway 20 Se Ste 100, Conyers, GA 30013-2074 | 2014-10-23 |
| 1841609344 | Kratika Pareek | Dentist | 1152 Old Salem Rd Se, Conyers, GA 30094-5944 | 2014-08-08 |
| 1194166306 | Kimberly Anne Peters | Dentist | 1253 Commercial Dr Sw, Conyers, GA 30094-5987 | 2013-07-16 |
| 1932461860 | Sacred Dental | Dentist | 1360 Dogwood Drive, Conyers, GA 30013 | 2012-06-15 |
| 1871809582 | Racquel T Lewis | Dentist | 2239 Highway 20 Se, Conyers, GA 30013-2091 | 2010-08-19 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| 1356579825 | Tani Kerri-ann Rainford | Dentist | 1810 Georgia Highway 20 Se Ste 172, Conyers, GA 30013-2001 | 2009-06-23 |
| 1316100738 | Alan A Derrick-griffith | Dentist | 2802 Clearwater Ter Se, Conyers, GA 30013-2484 | 2008-07-07 |
| Find all providers in CONYERS | ||||
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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.