ANGEL M GUARDIOLA (NPI# 1689791519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689791519 |
| Entity Type | Individual |
| Full Name | ANGEL M GUARDIOLA |
| Credential | DMD |
| Practice Address |
405 Arrowhead Blvd Jonesboro GA 30236-1254 |
| Practice Telephone | 7704712003 |
| Mailing Telephone | 7704712003 |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8188 | 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 |
| 1568657807 | Chareunphone T Inthirat | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2007-09-10 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720242167 | Summer Barker Tyson | Dentist | 620 Southwest Dr, Jonesboro, AR 72401-5859 | 2008-07-15 |
| 1790909752 | Ken Wood, D.d.s. M.s. Childrens Dentistry | Dentist | 2702 S Culberhouse St, Suite Q, Jonesboro, AR 72401-7132 | 2007-04-12 |
| 1447310883 | Michael Douglas Oliver Jr. | Dentist | 809 Windover Rd, Jonesboro, AR 72401-6010 | 2006-12-08 |
| 1548360001 | Ken I Wood | Dentist | 2702 Culberhouse, Southwest Village, Jonesboro, AR 72401 | 2006-09-25 |
| 1164411674 | Dentistry for Children | Dentist | 435 Arrowhead Blvd, Jonesboro, GA 30236-1219 | 2005-10-18 |
| 1861937518 | Axpm Jonesboro Pedo, Pllc | Dentist | 1150 E Matthews Ave, Ste 102, Jonesboro, AR 72401-4346 | 2017-01-04 |
| 1225402373 | Homegrown Pediatric Dentistry and Orthodontics | Dentist | 405 Arrowhead Blvd, Jonesboro, GA 30236-1254 | 2015-11-30 |
| 1801181672 | Clemmisa Louise Harris | Dentist | 809 Windover Rd, Jonesboro, AR 72401-6010 | 2011-06-09 |
| 1538453006 | Tyson Dental Associates Pllc | Dentist | 620 Southwest Dr, Jonesboro, AR 72401-5859 | 2011-06-02 |
| 1902829161 | Brad Warren Roehl | Dentist | 435 Arrowhead Blvd, Jonesboro, GA 30236-1219 | 2006-07-26 |
| 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.