DR. JEFFREY JEROME DENT (NPI# 1952465742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952465742 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY JEROME DENT |
| Credential | DDS |
| Practice Address |
1238 Augusta West Pkwy Augusta GA 30909-1854 |
| Practice Telephone | 7068680246 |
| Practice Fax Number | 7068680255 |
| Mailing Telephone | 7068680246 |
| Mailing Fax Number | 7068680255 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
9920 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871518548 | Jeffrey William Lewis Dent | Physician Assistant | 600 Fort St, Suite 100, Port Huron, MI 48060-3941 | 2006-07-13 |
| Street Address |
1238 AUGUSTA WEST PKWY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420146 | Scott Hansen Lowry | Dentist | 1430 John Wesley Drive, Augusta, GA 30912-0001 | 2020-02-25 |
| 1871948695 | Kyle Garrett | Dentist | 2704 W Terrace Dr, Augusta, GA 30909-3622 | 2016-04-29 |
| 1841507928 | Cristiano Susin | Dentist | 1120 15th St # Ad1430, Mcg School of Dentistry Dept Periodontics, Augusta, GA 30912-0004 | 2010-09-09 |
| 1699810366 | Christopher William Cutler | Dentist | 1120 15th St # Gc-1335, Ghsu-college of Dental Medicine, Augusta, GA 30912-0004 | 2007-02-21 |
| 1891846754 | David W. Perrry | Dentist | 231 Davis Rd, Augusta, GA 30907-2407 | 2007-01-16 |
| 1891714135 | Mark A Brunner | Dentist | 1430 John Wesley Gilbert Dr., Gc-1333, Augusta, GA 30327-3007 | 2006-07-18 |
| 1417900929 | Philip J Hanes | Dentist | 1430 John Wesley Gilbert, Gc-1024, Augusta, GA 30912-1001 | 2006-05-18 |
| 1073112512 | Celine Joyce Cornelius Timothius | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2020-10-24 |
| 1144671397 | Mira Ghaly | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2016-06-29 |
| 1356719322 | Andrew Kurialacherry | Dentist | 3456 Wrightsboro Rd, Augusta, GA 30909-2678 | 2015-09-08 |
| Find all providers in AUGUSTA | ||||
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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.