DR. CHAREUNPHONE T INTHIRAT


Address: 405 Arrowhead Blvd, Jonesboro, GA 30236-1254
Phone: 4045451769

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DN013619 GA Dental Providers

Office Location

Street Address 405 ARROWHEAD BLVD
City JONESBORO
State GA
Zip Code 30236-1254

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City JONESBORO
Zip Code 30236

Improve Information

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Dataset Information

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.

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