JSA DENTAL ASSOCIATES CONYERS PC


Address: 1151 Nor Tec Dr, Suite B, Conyers, GA 30013
Phone: 7704830029

JSA DENTAL ASSOCIATES CONYERS PC (NPI# 1881149268) 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) 1881149268
Entity Type Organization
Organization Name JSA DENTAL ASSOCIATES CONYERS PC
Other Organization Name HONEY CREEK DENTAL
Practice Address 1151 Nor Tec Dr
Suite B
Conyers
GA 30013
Practice Telephone 7704830029
Practice Fax Number 7704830043
Mailing Telephone 7704830029
Mailing Fax Number 7704830043
Enumeration Date 2016-08-16
Last Update Date 2016-08-16
Authorized Official Name DR. JUANITA ADKINS (OWNER)
Authorized Official Telephone 7704830029
Authorized Official Credential D.M.D.
Is Organization Subpart Y
Parent Organization Name JSA DENTAL ASSOCIATES MCDONOUGH PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DN013121 GA Dental Providers

Other Provider/Organization Names

Other Name Type Code
Honey Creek Dental Doing Business As Name - Organization

Office Location

Street Address 1151 NOR TEC DR
SUITE B
City CONYERS
State GA
Zip Code 30013

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1043735244 Niki Tanyell Davis Licensed Practical Nurse 1403 Windy Hill Court, Conyers, GA 30013 2017-08-08
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396397386 Cornelius Homer Daniel Dentist 2239 Highway 20 Se Ste H, Conyers, GA 30013-2087 2019-07-10
1811554058 Professional Dental Alliance of Conyers, LLC Dentist 1820 Georgia Highway 20 Se Ste 148, Conyers, GA 30013-2076 2019-05-23
1487093464 Anushka Amin Dentist 1096 West Ave Sw Ste A, Conyers, GA 30012-5244 2013-06-23
1578794673 Sandy Michelet-vialva Dentist 1755 Parker Rd Se, Suite A110, Conyers, GA 30094-6650 2009-08-06
1376777920 Maria Michelle Flanigan Dentist 5220 Bailey Rd Sw, Conyers, GA 30094-4737 2009-05-12
1487842951 Conyers Dentures & Implant Center Dentist 1916 Iris Drive, Sw, Conyers, GA 30094 2007-10-10
1396962262 Satpal Shikh Dentist 1745 Highway 138 Se Ste C3, Conyers, GA 30013-5710 2007-04-19
1528186061 Thomas William Moorman Dentist 1455 Old Mcdonough Hwy Se Ste B, Conyers, GA 30094-5979 2007-03-26
1902948847 Cathy S. Creager Dentist 992 E Freeway Dr Se, Suite B, Conyers, GA 30094-5916 2007-02-13
1932250248 Douglas B. Torbush Ddspc Dentist 1000 Iris Dr Sw, Conyers, GA 30094-6632 2007-01-15
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Competitor

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City CONYERS
Zip Code 30013

Improve Information

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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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