DR. JOBY KOOVAKADA GEORGE (NPI# 1538307814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538307814 |
| Entity Type | Individual |
| Full Name | DR. JOBY KOOVAKADA GEORGE |
| Credential | DDS |
| Practice Address |
6600 Abercorn St Suite 110 Savannah GA 31405-5800 |
| Practice Telephone | 9123543880 |
| Mailing Telephone | 9123543880 |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN013827 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255481917 | Joby K George | Pharmacist | 32 Dogwood Ct, Cliffwood, NJ 07721-1270 | 2007-01-12 |
| 1710161039 | Joby George | Obstetrics & Gynecology | 15 Tower Ct Ste 300, Gurnee, IL 60031 | 2007-12-21 |
| Street Address |
6600 ABERCORN ST SUITE 110 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700983723 | Walker Thomas Pendarvis | Dentist | 6600 Abercorn St, Suite 204, Savannah, GA 31405-5800 | 2006-09-20 |
| 1164766374 | Coastal Home Care | In Home Supportive Care | 6600 Abercorn St, Suite 100, Savannah, GA 31405-5800 | 2012-11-15 |
| 1073857280 | Coastal Home Care | In Home Supportive Care | 6600 Abercorn St, Suite 100, Savannah, GA 31405-5800 | 2012-11-15 |
| 1568715290 | Coastal Home Care | In Home Supportive Care | 6600 Abercorn St, Suite 100, Savannah, GA 31405-5800 | 2012-10-18 |
| 1770849655 | Coastal Home Care, Inc. | In Home Supportive Care | 6600 Abercorn St, Suite 100, Savannah, GA 31405-5800 | 2012-04-05 |
| 1750647632 | Coastal Home Care, Inc. | In Home Supportive Care | 6600 Abercorn St, Suite 100, Savannah, GA 31405-5800 | 2012-04-05 |
| 1134485014 | Coastal Home Care, Inc. | In Home Supportive Care | 6600 Abercorn St, Suite 100, Savannah, GA 31405-5800 | 2012-04-05 |
| 1043576929 | Coastal Home Care, Inc. | In Home Supportive Care | 6600 Abercorn St, Suite 100, Savannah, GA 31405-5800 | 2012-04-05 |
| 1114283090 | Coastal Home Care, Inc. | In Home Supportive Care | 6600 Abercorn St, Suite 100, Savannah, GA 31405-5800 | 2012-04-05 |
| 1669738480 | Coastal Home Care, Inc. | In Home Supportive Care | 6600 Abercorn St, Suite 100, Savannah, GA 31405-5800 | 2012-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831674290 | Kathleen Rouse Vaught | Dentist | 7650 Waters Ave, Savannah, GA 31406-3816 | 2018-10-01 |
| 1679901581 | Thomas Broderick | Dentist | 500 Eisenhower Dr, Savannah, GA 31406-2608 | 2013-10-31 |
| 1265694053 | Salvatore Brancato | Dentist | 130 Stephenson Ave, Ste 201, Savannah, GA 31405-5889 | 2008-07-02 |
| 1821207374 | Douglas Edward Smith | Dentist | 5102 Paulsen Street, Building 7, Savannah, GA 31405-4624 | 2007-05-22 |
| 1114017530 | Drs Broderick Vaught & Dusek PC | Dentist | 500 Eisenhower Drive, Savannah, GA 31406 | 2006-10-14 |
| 1003236407 | Mark W Dusek | Dentist | 500 Eisenhower Dr, Savannah, GA 31406-2608 | 2014-04-24 |
| 1023113875 | Donihue Waters | Dentist | 9100 White Bluff Rd, Suite 104, Savannah, GA 31406 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828765 | Sharma Orthodontics LLC | Dentist | 3535 Roswell Rd Ste 53, Marietta, GA 30062-8828 | 2020-10-15 |
| 1700484094 | Beltway Orthodontics | Dentist | 857 Collier Rd Nw Ste 5a-5b, Atlanta, GA 30318-2532 | 2020-10-09 |
| 1003423039 | Cedar Dental Clinical I, LLC | Dentist | 119 Willow Ln, Mcdonough, GA 30253-6574 | 2020-09-24 |
| 1073120002 | Cedar Dental Clinical I, LLC | Dentist | 494 Booth Rd Ste 1a, Warner Robins, GA 31088-3435 | 2020-09-24 |
| 1942817960 | Cedar Dental Clinical I, LLC | Dentist | 4272 Washington Rd Ste 7a, Evans, GA 30809-3073 | 2020-09-24 |
| 1366059396 | Cedar Dental Clinical I, LLC | Dentist | 18 Riverbend Dr Sw Ste 230, Rome, GA 30161-6019 | 2020-09-24 |
| 1740897776 | Cedar Dental Clinical I, LLC | Dentist | 3630 Thompson Bridge Rd Ste 18b, Gainesville, GA 30506-1524 | 2020-09-24 |
| 1790392710 | Cedar Dental Clinical I, LLC | Dentist | 6801 Governors Lake Pkwy Ste 290, Peachtree Corners, GA 30071-1136 | 2020-09-24 |
| 1598379679 | Dr. Milan Dhanani PC | Dentist | 1905 Beaver Ruin Rd Ste 175b, Norcross, GA 30071-3837 | 2020-09-04 |
| 1316584758 | Classic City Orthodontics, LLC | Dentist | 1020 Jamestown Blvd Bldg 100, Watkinsville, GA 30677-4131 | 2019-12-04 |
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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.