DR. JUDD SHENK (NPI# 1841503737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841503737 |
| Entity Type | Individual |
| Full Name | DR. JUDD SHENK |
| Credential | DMD |
| Practice Address |
4690 Woodstock Rd Suite #100 Roswell GA 30075-2089 |
| Practice Telephone | 7709926568 |
| Mailing Telephone | 7709926568 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN014141 | GA | Dental Providers |
| Street Address |
4690 WOODSTOCK RD SUITE #100 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619074291 | Michael W. Shenk D.d.s. P.C. | Dentist | 4690 Woodstock Rd, Suite 100, Roswell, GA 30075-1678 | 2006-09-17 |
| 1881781128 | Michael W Shenk | Dentist | 4690 Woodstock Rd, Suite 100, Roswell, GA 30075 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| 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 |
|---|---|---|---|---|
| 1699393322 | Susannah Rachel Felton | Dentist | 860 Warsaw Rd Ste 100, Roswell, GA 30075-3992 | 2020-07-09 |
| 1770076721 | Sagar Kakadia | Dentist | 1755 Woodstock Rd Ste 100, Roswell, GA 30075-2135 | 2018-06-13 |
| 1417459769 | Nm Dentistry PC | Dentist | 3900 N Main St, Roswell, NM 88201-9773 | 2018-03-02 |
| 1265984579 | Smiles of Georgia LLC | Dentist | 9410 Willeo Rd Ste A, Roswell, GA 30075-5085 | 2016-11-03 |
| 1558739599 | Ramya Subgani | Dentist | 707 1/2 N Pennsylvania Ave, Roswell, NM 88201-4853 | 2015-09-08 |
| 1265812069 | Joseph Isaac Rhodes | Dentist | 3751 N Main St Ste D, Roswell, NM 88201-0300 | 2015-06-05 |
| 1710379755 | Smilesforever LLC | Dentist | 4511 N Main St, Suit B, Roswell, NM 88201-0309 | 2015-02-27 |
| 1306184460 | Gloria Alvarez-kiely | Dentist | 355 S Atlanta St, Roswell, GA 30075-4934 | 2013-01-24 |
| 1730472184 | Familia Dental Ros LLC | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2011-05-18 |
| 1447565148 | Herbert Outlaw Jr. | Dentist | 220 Tallwood Ter, Roswell, GA 30076-3034 | 2010-08-18 |
| Find all providers in ROSWELL | ||||
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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.