DR. KARL BURGESS (NPI# 1962516161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962516161 |
| Entity Type | Individual |
| Full Name | DR. KARL BURGESS |
| Credential | DDS |
| Practice Address |
2415 West Park Place Blvd Stone Mountain GA 30087 |
| Practice Telephone | 7708791200 |
| Practice Fax Number | 7704131821 |
| Mailing Telephone | 7708791200 |
| Mailing Fax Number | 7704131821 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN009848 | GA | Dental Providers |
| Street Address |
2415 WEST PARK PLACE BLVD |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1548584154 | Smoke Rise Dental | Dentist | 5500 Lilburn Stone Mountain Rd Ste A, Stone Mountain, GA 30087-2873 | 2010-03-25 |
| 1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
| 1275775942 | James H Arnold IIi | Dentist | 2536 Rockbridge Rd, Stone Mountain, GA 30087-3613 | 2009-03-27 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| 1134372279 | Metro Dekalb Dental Group | Dentist | 4849 Memorial Dr, Stone Mountain, GA 30083-4175 | 2008-11-03 |
| 1427200328 | Erika Michelle Sibbie | Dentist | 609 Kingsgate Rdg, Stone Mountain, GA 30088-1823 | 2008-10-22 |
| 1619134251 | Robert A Kirkland Jr. | Dentist | 2000 Carrington Ct, Stone Mountain, GA 30087-1448 | 2008-05-21 |
| 1275676389 | Betty Dillon | Dentist | 900 N Hairston Rd, Suite B, Stone Mountain, GA 30083-2857 | 2007-02-15 |
| 1639242373 | Hassan Ali Moeti | Dentist | 5500 Lilburn Stone Mountain Road, Suite A, Stone Mountain, GA 30087 | 2006-11-17 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
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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.