CARLOS ANDRES CASTRO-PERDOMO (NPI# 1780831016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780831016 |
| Entity Type | Individual |
| Full Name | CARLOS ANDRES CASTRO-PERDOMO |
| Credential | DDS |
| Practice Address |
1942 Atkinson Rd Suite 500 Lawrenceville GA 30043-5003 |
| Practice Telephone | 9179072185 |
| Mailing Telephone | 9179072185 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2015-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013764 | GA | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN013764 | GA | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
056055 | NY | Dental Providers |
| Street Address |
1942 ATKINSON RD SUITE 500 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275507220 | Valeria F Boazman | Obstetrics & Gynecology | 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043-5004 | 2006-02-15 |
| 1356715411 | Carlos A Castro Dds PC | Dentist | 1942 Atkinson Rd, 500, Lawrenceville, GA 30043-5003 | 2015-11-30 |
| 1639411796 | Sarah Anne Owens | Advanced Practice Midwife | 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043-5003 | 2013-03-26 |
| 1023264231 | Erica Jin | Obstetrics & Gynecology | 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043-5004 | 2008-08-07 |
| 1396966909 | Janine Roxanne Jones | Advanced Practice Midwife | 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043-5004 | 2007-05-01 |
| 1982742656 | Sharon Sheree Joyce-bailey | Obstetrics & Gynecology | 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043-5004 | 2007-02-02 |
| 1821136516 | Tanya D Guldenschuh | Advanced Practice Midwife | 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043-5004 | 2007-02-02 |
| 1609913896 | Kelly Moynes Sklare | Nurse Practitioner | 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043-5004 | 2007-01-30 |
| 1164568168 | Kimberly Theresa Shea-carter | Advanced Practice Midwife | 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043-5004 | 2007-01-29 |
| 1497809420 | Laura Kim Baraona | Midwife | 1942 Atkinson Rd, Suite 100, Lawrenceville, GA 30043-5004 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| 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 |
|---|---|---|---|---|
| 1225660541 | Ama Dental Care LLC | Dentist | 3370 Sugarloaf Pkwy Ste G8, Lawrenceville, GA 30044-5486 | 2020-02-05 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1558815365 | Maxim Godko | Dentist | 100 Federal City Rd # 104b, Lawrenceville, NJ 08648-1664 | 2016-08-09 |
| 1194185983 | Lawrenceville Dentist Office, PC | Dentist | 918 Duluth Hwy, Suite B, Lawrenceville, GA 30043 | 2016-03-07 |
| 1558746974 | Haresh Modha | Dentist | 15 Collins Industrial Way Ste A, Lawrenceville, GA 30043-6029 | 2015-07-27 |
| 1205249570 | Heartland Dental Care of Georgia, P.C. | Dentist | 4795 Sugarloaf Pkwy, Lawrenceville, GA 30044-6984 | 2014-06-04 |
| 1528318508 | Reach Dental PC | Dentist | 845 Scenic Hwy, Suite#300, Lawrenceville, GA 30046-7101 | 2012-09-17 |
| 1467602037 | Frank Horting Jones | Dentist | 73 Hopatcong Dr, Lawrenceville, NJ 08648-4133 | 2008-09-19 |
| 1275707200 | Jennifer Lynn Mccoy | Dentist | 365 W Pike St Ste 101, Lawrenceville, GA 30046-4862 | 2008-04-22 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on CARLOS ANDRES CASTRO-PERDOMO.
| 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.