HERRIN PEDIATRIC DENTISTRY (NPI# 1871840983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871840983 |
| Entity Type | Organization |
| Organization Name | HERRIN PEDIATRIC DENTISTRY |
| Practice Address |
3020 Roswell Rd Suite 110 Marietta GA 30062-4996 |
| Practice Telephone | 6782155352 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |
| Authorized Official Name | BRENT HERRIN (DENTIST/OWNER) |
| Authorized Official Telephone | 6782155352 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
3020 ROSWELL RD SUITE 110 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-4996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235248170 | Robert M Lazerson | Dentist | 3020 Roswell Rd, Suite 110, Marietta, GA 30062-4996 | 2006-08-30 |
| 1982159042 | Arielle Rebecca Scherz | Dentist | 3020 Roswell Rd, Suite 100, Marietta, GA 30062-4996 | 2016-08-18 |
| 1063731438 | Cleveland Venture Group | In Home Supportive Care | 3020 Roswell Rd, Ste. 200, Marietta, GA 30062-4996 | 2010-05-25 |
| 1053552653 | Aash Ventures, LLC. | Home Health | 3020 Roswell Rd, Suite 200, Marietta, GA 30062-4996 | 2009-03-12 |
| 1831398361 | Orion Group Services, Inc. | General Practice | 3020 Roswell Rd, Suite 200, Marietta, GA 30062-4996 | 2007-07-14 |
| 1528117223 | Jonathan Blair Waldron | Dentist | 3020 Roswell Rd, Marietta, GA 30062-4996 | 2007-01-10 |
| 1962551093 | Jonathan Charles Waldron | Dentist | 3020 Roswell Rd, Marietta, GA 30062-4996 | 2007-01-09 |
| 1164589479 | Key Dentistry, PC | Dentist | 3020 Roswell Rd, Suite 100, Marietta, GA 30062-4996 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003352857 | Kimchang & Company, LLC | Dentist | 2155 Post Oak Tritt Rd Ste 450, Marietta, GA 30062-8608 | 2017-01-17 |
| 1003366147 | East Cobb Nia LLC | Dentist | 1111 Johnson Ferry Rd, Marietta, GA 30068-2181 | 2016-10-13 |
| 1407993827 | Priya N Dixit | Dentist | 2880 Johnson Ferry Rd Ste 100, Marietta, GA 30062-8368 | 2007-02-01 |
| 1821152364 | Michael Rossitch | Dentist | 3698 Largent Way Nw, Suite 201, Marietta, GA 30064-5923 | 2006-12-20 |
| 1053413906 | Nelson K Allen | Dentist | 2880 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-8368 | 2006-09-02 |
| 1154365161 | Marc Andrew Auerbach | Dentist | 1090 Northchase Pkwy Se, Suite 290, Marietta, GA 30067-6405 | 2006-06-16 |
| 1659313856 | Terry W. Holder | Dentist | 5107 Township Ridge Trce, Marietta, GA 30066-1733 | 2006-06-12 |
| 1679922470 | South Indy Dental, P.C. | Dentist | 1090 Northchase Pkwy Se, Ste. 150, Marietta, GA 30067-6405 | 2016-06-13 |
| 1396106142 | Tebo Dentistry for Kids Marietta LLC | Dentist | 2155 Post Oak Tritt Rd, Suite 450, Marietta, GA 30062-8620 | 2016-03-08 |
| 1982073441 | John Hampton Taylor | Dentist | 1230 Johnson Ferry Rd, Suite I-10, Marietta, GA 30068-2048 | 2015-09-15 |
| Find all providers in MARIETTA | ||||
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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.