NEWNAN PERIODONTICS LLC (NPI# 1972012961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972012961 |
Entity Type | Organization |
Organization Name | NEWNAN PERIODONTICS LLC |
Practice Address |
1635 Highway 34 E Ste A Newnan GA 30265-2173 |
Practice Telephone | (770) 252-0029 |
Practice Fax Number | 7702520091 |
Mailing Telephone | 7702520029 |
Mailing Fax Number | 7702520091 |
Enumeration Date | 2017-09-22 |
Last Update Date | 2017-09-22 |
Authorized Official Name | DR. RAGAN L FALER (OWNER) |
Authorized Official Telephone | 7702520029 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
Street Address |
1635 HIGHWAY 34 E STE A |
City | NEWNAN |
State | GA |
Zip Code | 30265-2173 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
Find all providers in zip 30265 |
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 |
---|---|---|---|---|
1225255573 | Cleland Periodontics, PC | Dentist | 1605 Highway 34 E Ste A, Newnan, GA 30265-2156 | 2007-04-19 |
1811045818 | Periodontics & Dental Implants, LLC | Dentist | 163 Jefferson Pkwy, Newnan, GA 30263-5823 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801420146 | Scott Hansen Lowry | Dentist | 1430 John Wesley Drive, Augusta, GA 30912-0001 | 2020-02-25 |
1780233981 | North Point Periodontics Center LLC | Dentist | 4205 N Point Pkwy Ste A, Alpharetta, GA 30022-8808 | 2019-09-10 |
1871948695 | Kyle Garrett | Dentist | 2704 W Terrace Dr, Augusta, GA 30909-3622 | 2016-04-29 |
1346601291 | Titanium Dental | Dentist | 3796 Satellite Blvd Ste 101, Duluth, GA 30096-5698 | 2016-03-18 |
1073972584 | Kara Kramer | Dentist | 2970 Peachtree Rd Nw Ste 622, Atlanta, GA 30305-2115 | 2016-02-12 |
1922491356 | John H Eaton | Dentist | 1776 Old Spring House Ln Ste 301, Dunwoody, GA 30338-6225 | 2015-03-10 |
1679977656 | M Forest Butler Dds Ms PC | Dentist | 320 Killian Hill Rd Nw, Lilburn, GA 30047-3809 | 2014-10-20 |
1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
1699104927 | Nisha Maniar Kancherla | Dentist | 300 W Wieuca Rd Ne Suite 100, Atlanta, GA 30342-9701 | 2013-11-07 |
1306273172 | Gerrit Charles Hagman | Dentist | 6190 Rivercliffe Dr, Atlanta, GA 30328-3711 | 2013-10-10 |
Find all providers with the same taxonomy |
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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.