EDGEWOOD DENTAL CENTER (NPI# 1770834954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770834954 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD DENTAL CENTER |
| Practice Address |
545 Edgewood Ave Se Atlanta GA 30312-1936 |
| Practice Telephone | 4045890900 |
| Practice Fax Number | 4045373107 |
| Mailing Telephone | 4045890900 |
| Mailing Fax Number | 4045373107 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |
| Authorized Official Name | NIKKI ROLLS (INSURANCE MANAGER) |
| Authorized Official Telephone | 4047580770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
GA | Ambulatory Health Care Facilities |
| Street Address |
545 EDGEWOOD AVE SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891336830 | Atlanta Dental Fitness | Clinic/Center | 2296 Henderson Mill Rd Ne Ste 109, Atlanta, GA 30345-2739 | 2019-10-01 |
| 1245881515 | Wayne G Suway D.d.s., PC | Clinic/Center | 1820 The Exchange Se Ste 600, Atlanta, GA 30339-2083 | 2019-09-26 |
| 1033699921 | Meridian Education Resource Group, Inc. | Clinic/Center | 65 Rogers St Ne, Atlanta, GA 30317-1018 | 2018-08-20 |
| 1174979082 | Greenbriar Dental Care, P.C. | Clinic/Center | 2841 Greenbriar Pkwy Sw Ste X306, Atlanta, GA 30331-2635 | 2016-05-10 |
| 1164815254 | Pain Away Dentistry, LLC | Clinic/Center | 5626 Fulton Industrial Blvd Sw, Ste 110, Atlanta, GA 30336-2641 | 2015-03-12 |
| 1578809919 | Georgia Dental Care Inc | Clinic/Center | 5025 Winters Chapel Rd, Suite F, Atlanta, GA 30360-1700 | 2012-12-12 |
| 1871853366 | International Harvest Dentistry | Clinic/Center | 5555 Peachtree Dunwoody Rd Ne Ste G73, Atlanta, GA 30342-1787 | 2012-05-18 |
| 1306104260 | Powell and Associates Dds, PC | Clinic/Center | 2800 Spring Road, Suite F-2, Atlanta, GA 30339-3092 | 2012-04-30 |
| 1679782585 | J. Stephen Buckler, Dmd, PC | Clinic/Center | 3632 Chamblee Tucker Rd, Atlanta, GA 30341-4418 | 2007-05-21 |
| 1013515709 | Piedmont Periodontics Atlanta LLC | Clinic/Center | 222 12th St Ne Ste 1b, Atlanta, GA 30309-4009 | 2020-10-14 |
| Find all providers in ATLANTA | ||||
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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.