POLISH DENTAL CENTER ALPHARETTA LLC (NPI# 1699380840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699380840 |
| Entity Type | Organization |
| Organization Name | POLISH DENTAL CENTER ALPHARETTA LLC |
| Practice Address |
4640 Valais Ct Ste 102 Alpharetta GA 30022-2606 |
| Mailing Address |
692 Londonberry Rd Atlanta GA 30327-4956 |
| Practice Telephone | 7706424711 |
| Mailing Telephone | 2027148433 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | TIFFANY JAMISON (OWNWER) |
| Authorized Official Telephone | 2027148433 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| Street Address |
4640 VALAIS CT STE 102 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150294 | James Patrick Cook | Dentist | 127 Telfair St Fl 3, Augusta, GA 30901-2590 | 2020-06-26 |
| 1215313044 | Georgia Dental Professionals, PC | Dentist | 6005 Watson Blvd Suite 200, Byron, GA 31008 | 2015-08-04 |
| 1043650377 | F. Allen Shaw | Dentist | 6743 Beaver Trl, Midland, GA 31820-3836 | 2013-07-01 |
| 1205167962 | Dana E Nelson Witherspoon | Dentist | 2000 Riverside Parkway, Suite 200, Great Expressions Dental Centers of Georgia, PC, Lawrenceville, GA 30043 | 2010-01-20 |
| 1578701157 | Allen Michael Vergen | Dentist | 501 N Pierce St, Alma, GA 31510-2445 | 2009-02-04 |
| 1114181138 | Gainesville Dental Group LLC | Dentist | 1026 Thompson Bridge Road, Gainesville, GA 30501-1704 | 2008-07-18 |
| 1326170663 | Jerry Lamar Thomas | Dentist | 128 Martin Luther King Jr Ct, Lagrange, GA 30241-3656 | 2007-03-12 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1033260898 | Janine E. Randall | Dentist | 4199 Paces Ferry Rd Se, Suite D, Atlanta, GA 30339-5750 | 2007-01-16 |
| 1013090307 | Olivia Taylor | Dentist | 1305 Redmond Cir Nw Bldg 614, Rome, GA 30165-1345 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
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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.