SUSAN BOYD REILLY (NPI# 1609950757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609950757 |
| Entity Type | Individual |
| Full Name | SUSAN BOYD REILLY |
| Credential | D.D.S |
| Practice Address |
3535 Roswell Rd Suite 3 Marietta GA 30062-8826 |
| Practice Telephone | 7709716656 |
| Practice Fax Number | 7709736659 |
| Mailing Telephone | 7709716656 |
| Mailing Fax Number | 7709736659 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
GA011972 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1659525376 | Susan D Reilly | Audiologist | 777 No Broadway, Suite 303, Phelps Memorial Hospital, Sleepy Hollow, NY 10591 | 2008-11-07 |
| 1134778897 | Susan Reilly | Genetic Counselor, MS | 1327 Lake Pointe Parkway, Sugar Land Treatment Center, Sugar Land, TX 77478-4905 | 2019-09-05 |
| 1194210542 | Susan Catherine Reilly | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-06-28 |
| 1831610716 | Susan Reilly | Community Health Worker | 152 Highway 7 S, Oxford, MS 38655-5392 | 2017-06-30 |
| 1174891725 | Susan Reilly | Speech-Language Pathologist | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2011-12-11 |
| 1992025597 | Susan Marie Reilly | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2010-06-04 |
| 1336161884 | Susan Lee Reilly | Nurse Practitioner | 1 Medical Center Dr, 5l, Lebanon, NH 03756-1000 | 2006-07-24 |
| Street Address |
3535 ROSWELL RD SUITE 3 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-8826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952363442 | Advanced Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 3535 Roswell Rd, Suite 27, Marietta, GA 30062-8826 | 2006-04-03 |
| 1952750309 | Kiran Bandali | Optometrist | 3535 Roswell Rd, Ste 8, Marietta, GA 30062-8826 | 2016-06-07 |
| 1750654141 | Map Eyes LLC | Optometrist | 3535 Roswell Rd, Suite 8, Marietta, GA 30062-8826 | 2012-02-15 |
| 1124300629 | Keiko Sweigart | Massage Therapist | 3535 Roswell Rd, Suite 23, Marietta, GA 30062-8826 | 2011-09-12 |
| 1457672958 | Daniel Paul Brunner | Dentist | 3535 Roswell Rd, Suite 27, Marietta, GA 30062-8826 | 2010-06-18 |
| 1043470883 | Digital Radiographic Diagnostics, LLC | Clinic/Center | 3535 Roswell Rd, Suite-1 Building-1, Marietta, GA 30062-8826 | 2008-06-16 |
| 1073795746 | The Widen Clinic | Chiropractor | 3535 Roswell Rd, Ste. 37, Marietta, GA 30062-8826 | 2007-12-04 |
| 1104045251 | Woodlawn Medical Group of Arizona | Radiologic Technologist | 3535 Roswell Rd, Suite 20, Marietta, GA 30062-8826 | 2007-04-25 |
| 1205053188 | Hank Bradford | Dentist | 3535 Roswell Rd, Suite 46, Marietta, GA 30062-8826 | 2007-04-20 |
| 1700947132 | Denise Angella Hall | Dentist | 3535 Roswell Rd, Suite 14, Marietta, GA 30062-8826 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| 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 |
|---|---|---|---|---|
| 1427659028 | My Emergency Dental Ga, LLC | Dentist | 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 | 2020-11-02 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1104381359 | Castiblanco Dental Care LLC | Dentist | 3901 Roswell Rd Ste 220, Marietta, GA 30062-8816 | 2019-02-01 |
| 1982102653 | Superior Dental of East Cobb, LLC | Dentist | 2745 Sandy Plains Rd Ste 118, Marietta, GA 30066-4327 | 2018-01-29 |
| 1477068823 | Gina Dental LLC | Dentist | 1000 Johnson Ferry Rd Ste E125, Marietta, GA 30068-2100 | 2017-12-07 |
| 1669994109 | Boban Fidanoski | Dentist | 1150 Whitlock Ave Nw, Marietta, GA 30064-1933 | 2017-07-15 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1659724532 | Neha Chakravarti | Dentist | 2230 Roswell Rd Ste 200, Marietta, GA 30062-2945 | 2016-07-15 |
| 1104218361 | Georgia Dental Professionals, PC | Dentist | 3052 Shallowford Rd Ste 100, Marietta, GA 30062-1252 | 2015-02-25 |
| 1124429212 | Family Tree Dental D Austin Rehl Dds and Peter E Lovejoy Dds LLC | Dentist | 30 Acme St, Marietta, OH 45750-3306 | 2014-09-09 |
| Find all providers in MARIETTA | ||||
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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.