GEORGIA DENTAL PROFESSIONALS, PC (NPI# 1932351731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932351731 |
| Entity Type | Organization |
| Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
| Other Organization Name | SHADOW BROOK DENTAL CARE |
| Practice Address |
3320 Lawrenceville Suwanee Rd Suite 2f Suwanee GA 30024-6542 |
| Practice Telephone | 6785464000 |
| Practice Fax Number | 6785464005 |
| Mailing Telephone | 6785464000 |
| Mailing Fax Number | 6785464005 |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Shadow Brook Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098214 | Georgia Dental Professionals, PC | Dentist | 3000 Chapel Hill Rd Ste 104, Douglasville, GA 30135-1841 | 2020-09-21 |
| 1063028769 | Georgia Dental Professionals, PC | Dentist | 3364 Hamilton Mill Rd, Buford, GA 30519-4005 | 2020-09-17 |
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1780220194 | Georgia Dental Professionals, PC | Dentist | 4355 Towne Lake Pkwy, Woodstock, GA 30189-8150 | 2019-11-20 |
| 1831746999 | Georgia Dental Professionals, PC | Dentist | 1207 Highway 74 S, Peachtree City, GA 30269-3078 | 2019-08-23 |
| 1972165207 | Georgia Dental Professionals, PC | Dentist | 516 Ga Highway 247 S, Bonaire, GA 31005-3865 | 2019-07-08 |
| 1710546148 | Georgia Dental Professionals, PC | Dentist | 8022 Cumming Hwy, Canton, GA 30115-9337 | 2019-06-10 |
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| Street Address |
3320 LAWRENCEVILLE SUWANEE RD SUITE 2F |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-6542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487007357 | Natasha Kanchwala | Dentist | 3320 Lawrenceville Suwanee Rd, Suwanee, GA 30024-6542 | 2016-07-15 |
| 1023374956 | Christopher L Waters | Chiropractor | 3320 Lawrenceville Suwanee Rd, Suite 1c, Suwanee, GA 30024-6542 | 2012-04-04 |
| 1699071662 | Healthsource of Suwanee LLC | Physical Therapist | 3320 Lawrenceville Suwanee Rd, Suite 1c, Suwanee, GA 30024-6542 | 2011-02-08 |
| 1528298080 | Jay Vijendra Patel | Dentist | 3320 Lawrenceville Suwanee Rd, 2-f, Suwanee, GA 30024-6542 | 2009-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| 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 |
|---|---|---|---|---|
| 1518598325 | Redwood Dental of Georgia | Dentist | 6916 Mcginnis Ferry Rd Ste 500, Suwanee, GA 30024-1258 | 2020-01-30 |
| 1952962854 | Liudmila Poznyak | Dentist | 4245 Johns Creek Pkwy Ste C, Suwanee, GA 30024-9122 | 2019-06-22 |
| 1194217398 | Farah Kim | Dentist | 3250 Camellia Ln, Suwanee, GA 30024-5335 | 2018-06-04 |
| 1164872057 | Davis Smith | Dentist | 2627 Peachtree Pkwy Ste 440, Suwanee, GA 30024-1018 | 2016-06-21 |
| 1285081950 | Tarang Choxi | Dentist | 1039 Peachtree Industrial Blvd Ste A116, Suwanee, GA 30024-8766 | 2016-05-23 |
| 1972922276 | Jennifer L. Mccoy, Dds, LLC | Dentist | 3930 Charleston Market St Ste B1, Suwanee, GA 30024-8757 | 2014-04-15 |
| 1265712483 | Fabiola Isabel Palacios-barrionuevo | Dentist | 3920 Shiloh Ridge Run, Suwanee, GA 30024-6015 | 2011-08-18 |
| 1033410857 | Dentistry for Children of Suwanee, LLC | Dentist | 3855 Johns Creek Pkwy Ste D, Suwanee, GA 30024-1293 | 2010-11-10 |
| 1114116365 | Robert H Shackelford | Dentist | 3915 Johns Creek Ct, Ste 110, Suwanee, GA 30024-1265 | 2007-10-23 |
| 1801089321 | Ami Desai Majmundar | Dentist | 4285 Johns Creek Pkwy, B, Suwanee, GA 30024-6038 | 2007-08-20 |
| Find all providers in SUWANEE | ||||
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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.