DEVAN DENTAL LLC (NPI# 1396213039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396213039 |
| Entity Type | Organization |
| Organization Name | DEVAN DENTAL LLC |
| Practice Address |
4806 Flat Shoals Pkwy Decatur GA 30034-5205 |
| Practice Telephone | 7709873430 |
| Mailing Telephone | 7709873430 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |
| Authorized Official Name | DONNA PHILLIPS (PRACTICE MANAGER) |
| Authorized Official Telephone | 7709873430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Heard & Heard Dental | Doing Business As Name - Organization |
| Street Address |
4806 FLAT SHOALS PKWY |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407900202 | Paula Pruitt Heard | Dentist | 4806 Flat Shoals Pkwy, Decatur, GA 30034-5205 | 2007-01-22 |
| 1144374851 | Heard & Heard Dental Associates, P.C. | Clinic/Center | 4806 Flat Shoals Pkwy, Decatur, GA 30034-5205 | 2007-01-22 |
| 1902950777 | Kelwin J Heard | Dentist | 4806 Flat Shoals Pkwy, Decatur, GA 30034-5205 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| 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 |
| 1376929984 | The Pacific Coast Group | Clinic/Center | 2883 North Decatur Rd., Suite F, Decatur, GA 30033 | 2015-08-05 |
| 1649836065 | Sven Hoge, Dmd, Pllc | Clinic/Center | 501 S Washburn St, Decatur, TX 76234-1637 | 2019-05-10 |
| 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.