DENTISTRY FOR CHILDREN OF CUMMING I, LLC


Address: 5071 Post Rd Ste 304, Cumming, GA 30040-5442
Phone: 6786797491

DENTISTRY FOR CHILDREN OF CUMMING I, LLC (NPI# 1700187549) 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) 1700187549
Entity Type Organization
Organization Name DENTISTRY FOR CHILDREN OF CUMMING I, LLC
Practice Address 5071 Post Rd Ste 304
Cumming
GA 30040-5442
Mailing Address 295 Country Club Dr
Stockbridge
GA 30281-7350
Practice Telephone 6786797491
Practice Fax Number 6786797495
Mailing Telephone 7704731350
Mailing Fax Number 7706920098
Enumeration Date 2010-11-10
Last Update Date 2010-11-10
Authorized Official Name DR. CHARLES COULTER (PEDIATRIC DENTIST)
Authorized Official Telephone 7704731350
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Office Location

Street Address 5071 POST RD STE 304
City CUMMING
State GA
Zip Code 30040-5442

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NPI Name Taxonomy Address Enumeration
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1497388904 Ben Allen Sanders Pharmacist Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 2020-02-13
1407415615 Jacqueline Small Nurse Practitioner 407 W Maple St # 101, Cumming, GA 30040 2019-06-11
1336706316 Mary Kathleen Hesidence Nurse Practitioner 81 Northside Dr, #100, Dawsonville, GA 30040 2019-05-24
1851958334 North Georgia Pathology Pathology 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 2019-05-21
1598320087 Emily Rebecca Downs Physician Assistant 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 2019-05-09
1215490057 Shine Speech Language Therapy LLC Speech-Language Pathologist 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 2019-04-09
1417430075 Ashley Michelle Nollenberger Counselor 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 2018-09-10
1518445410 Village Pediatrics At Vickery Pediatrics 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 2018-08-02
1306339841 Fukuzato Eyecare, Inc Optometrist 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 2018-06-09
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972010502 Cumming Pediatric Dentistry & Orthodontics, LLC Dentist 3275 Market Place Blvd Ste 150, Cumming, GA 30041-7980 2018-01-04
1144588997 Dhruti J Patel Dentist 2360 Trammel Estates Dr, Cumming, GA 30041-8425 2012-04-30
1356580633 R Jason Neil Bongiovi Dmd PC Dentist 3810 Windemere Parkway, Ste 502, Cumming, GA 30041 2009-02-11
1518026558 Childrens Dentistry of Cumming Dentist 285 Elm Street, Ste 101, Cumming, GA 30040 2006-12-06
1891873758 Jyoti Desh Sharma Dentist 1240 Buford Rd, Suite 150, Cumming, GA 30041-2731 2006-11-01
1972991248 Children and Teen Dental Group, PC Dentist 285 Elm St, Cumming, GA 30040-8233 2015-01-08
1659611184 Christina Mckellar Dentist 285 Elm St, Ste 301, Cumming, GA 30040-8233 2013-02-20
1407128663 Smiles for Kids LLC Dentist 1240 Buford Rd, Suite 150, Cumming, GA 30041-2731 2012-02-03
1306147459 Dentistry for Children of Cumming Cd, LLC Dentist 407 E Maple St, Ste 109, Cumming, GA 30040-2635 2010-11-05
1487854808 John Jason Haffner Dentist 3480 Keith Bridge Rd, Suite A-4, Cumming, GA 30041-5568 2007-07-24
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Competitor

Search similar providers

City CUMMING
Zip Code 30040

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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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