DR. CHAREUNPHONE T INTHIRAT (NPI# 1568657807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568657807 |
Entity Type | Individual |
Full Name | DR. CHAREUNPHONE T INTHIRAT |
Credential | DMD |
Practice Address |
405 Arrowhead Blvd Jonesboro GA 30236-1254 |
Practice Telephone | 4045451769 |
Mailing Telephone | 4045451769 |
Enumeration Date | 2007-09-10 |
Last Update Date | 2007-09-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013619 | GA | Dental Providers |
Street Address |
405 ARROWHEAD BLVD |
City | JONESBORO |
State | GA |
Zip Code | 30236-1254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972508117 | Barry Zeitman | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2005-06-15 |
1023626512 | Anna Richards | Speech-Language Pathologist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2020-07-21 |
1225402373 | Homegrown Pediatric Dentistry and Orthodontics | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2015-11-30 |
1700226438 | Eva Lauren Runnels | Nurse Anesthetist, Certified Registered | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2013-06-26 |
1497010003 | Lashawn Ealey | Nurse Anesthetist, Certified Registered | 405 Arrowhead Blvd, C, Jonesboro, GA 30236-1254 | 2012-07-10 |
1184876997 | Barrett M. Hunter | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2008-10-13 |
1841453875 | Jianmei Li | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2008-07-09 |
1174782601 | Jennifer L Cantrell | Nurse Anesthetist, Certified Registered | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2008-06-09 |
1104084201 | Allison R Johns | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2008-05-27 |
1740481381 | Jared Charles Kutzer | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2007-05-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
Find all providers in zip 30236 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
1255859831 | Southern Dental of Hilltop Pllc | Dentist | 2000 Fielder Drive, Jonesboro, AR 72401 | 2017-09-05 |
1689103038 | Creighton Deshawn Powell | Dentist | 1699 Stadium Blvd Suite I, Jonesboro, AR 72401 | 2017-06-08 |
1972039220 | Steven Andrew Robinson | Dentist | 2007 E Nettleton Ave Ste C, Jonesboro, AR 72401 | 2017-05-05 |
1376904953 | Southern Dental of Jonesboro, Pllc | Dentist | 2500 Browns Ln Ste A, Jonesboro, AR 72401-6107 | 2016-03-10 |
1205211976 | Higginbotham Dental Group, Pllc | Dentist | 1804 Old Greensboro Rd Ste D, Jonesboro, AR 72405-2076 | 2015-07-23 |
1306275474 | A.y. Dental Health, Inc | Dentist | 772 North Ave, Jonesboro, GA 30236-2226 | 2013-11-08 |
1053637637 | Gairhan Dental Care, Pllc | Dentist | 460 Southwest Dr Ste B, Jonesboro, AR 72401-5855 | 2010-04-08 |
1538494240 | Candace R Thomas | Dentist | 236 Stockbridge Rd Ste A, Jonesboro, GA 30236-3629 | 2009-10-14 |
1841428117 | Emily Gairhan | Dentist | 3113 Annadale Cv., Jonesboro, AR 72404-9515 | 2009-06-25 |
Find all providers in JONESBORO |
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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.