NEWNAN PERIODONTICS LLC


Address: 1635 Highway 34 E Ste A, Newnan, GA 30265-2173
Phone: (770) 252-0029

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
Dental Providers

Office Location

Street Address 1635 HIGHWAY 34 E STE A
City NEWNAN
State GA
Zip Code 30265-2173

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1265041537 Shiva Bazargan Pharmacist 3116 Sr 34 West, Newnan, GA 30265 2020-07-23
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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
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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
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City NEWNAN
Zip Code 30265

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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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