SOUTH HAIRSTON FAMILY DENTISTRY (NPI# 1598817488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598817488 |
| Entity Type | Organization |
| Organization Name | SOUTH HAIRSTON FAMILY DENTISTRY |
| Practice Address |
1234 S Hairston Rd Suite 23 Stone Mountain GA 30088-2749 |
| Practice Telephone | 4042943600 |
| Mailing Telephone | 4042943600 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | DR. HEATHER ALLEN (DENTIST) |
| Authorized Official Telephone | 4042943600 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10982 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00581215A | 05 |
| Street Address |
1234 S HAIRSTON RD SUITE 23 |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30088-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528627254 | Jeanette Kessler | Dentist | 1234 S Hairston Rd, Stone Mountain, GA 30088-2719 | 2019-06-06 |
| 1518380914 | Amc/north Fulton Urgent Care 1 LLC | Clinic/Center | 1234 S Hairston Rd, Suite 28, Stone Mountain, GA 30088-2719 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1588124879 | Birds of Paradise Physical Therapy Services,llc | Physical Therapy Assistant | 754 Post Road Ln, Address Line 2, Stone Mountain, GA 30088 | 2019-03-22 |
| 1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
| 1912365321 | Audrey Perry | Respiratory Therapist, Certified | 1588 Linkview Close, Stone Mountain, GA 30088 | 2016-02-01 |
| 1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
| 1831468818 | The Art of Living Cla LLC. | Community/Behavioral Health | 1668 South Hairston Rd, Stone Mountain, GA 30088 | 2011-12-21 |
| 1659670792 | Atarah Ranit Kimmons | Occupational Therapist | 2045 County Down Lane, Stone Moutain, GA 30088 | 2011-03-15 |
| 1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
| Find all providers in zip 30088 | ||||
| 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 |
|---|---|---|---|---|
| 1710459755 | Stephens & Burrell Family Dentistry, LLC | Dentist | 5370 Stone Mountain Hwy Ste 720, Stone Mountain, GA 30087-3574 | 2018-12-31 |
| 1841430642 | Mi Lee Kim | Dentist | 6267 Memorial Dr, Stone Mountain, GA 30083-2856 | 2009-03-06 |
| 1184899833 | Wilkins Center for Family Dentistry PC | Dentist | 5468 Memorial Drive Ste. A, Stone Mountain, GA 30083 | 2008-04-24 |
| 1194997726 | Stone Mountain Dental PC | Dentist | 4813 Rockbridge Rd Ste 26, Stone Mountain, GA 30083-4200 | 2008-03-24 |
| 1154546711 | Candace H. Rausch | Dentist | 1172 Rockbridge Rd, Stone Mountain, GA 30087-2903 | 2007-04-17 |
| 1417171158 | Dennis Oliver Smith | Dentist | 668 Borglum Ct, Stone Mountain, GA 30087-5724 | 2007-04-12 |
| 1881738557 | Jeffrey C Blankenship | Dentist | 1505 Lilburn Stone Mountain Rd, Suite 130, Stone Mountain, GA 30087-1857 | 2007-02-16 |
| 1386798346 | Schadale Stevens | Dentist | 4813 Rockbridge Rd, Ste 26, Stone Mountain, GA 30083-4200 | 2007-01-23 |
| 1225187214 | Son Van Nguyen | Dentist | 2065 Rockbridge Rd, Stone Mountain, GA 30087-3513 | 2007-01-09 |
| 1376605196 | Walker B. Moore Jr. | Dentist | 4687 Rockbridge Rd, Suite #7, Stone Mountain, GA 30083-4258 | 2006-12-15 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30088 |
Please comment or provide details below to improve the information on SOUTH HAIRSTON FAMILY DENTISTRY.
| 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.