DR. MICHAEL LEE MINYARD


Address: 1120 15th St, Augusta, GA 30912-2960
Phone: 7067212371

DR. MICHAEL LEE MINYARD (NPI# 1972851954) 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) 1972851954
Entity Type Individual
Full Name DR. MICHAEL LEE MINYARD
Credential D.M.D, M.P.H.
Practice Address 1120 15th St
Augusta
GA 30912-2960
Mailing Address 5445 Meridian Marks Rd Ste 200
Atlanta
GA 30342-4755
Practice Telephone 7067212371
Mailing Telephone 4047859557
Enumeration Date 2012-08-22
Last Update Date 2019-07-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DN014462 GA Dental Providers

Office Location

Street Address 1120 15TH ST
City AUGUSTA
State GA
Zip Code 30912-2960

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051556 Gyanendra Kumar Sharma Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2005-05-23
1912508532 Lacey Nichol Preston Physician Assistant 1120 15th St, Augusta, GA 30912-0004 2020-11-02
1992302988 Victoria Mae Pregibon Physician Assistant 1120 15th St, Augusta, GA 30912-0004 2020-10-03
1275130239 Tanya Renee Hall Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2020-10-02
1144847864 Cassandra Marie Voong Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2020-06-29
1245857002 Morgan Rowe Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2020-06-28
1639795990 Lauren Christine Bush Audiologist 1120 15th St, Augusta, GA 30912-0004 2020-06-23
1811513575 Ashley Danielle Fox Internal Medicine 1120 15th St, Augusta, GA 30912-0006 2020-06-18
1265058994 Matthew Craddock Psychiatry & Neurology 1120 15th St, Augusta, GA 30912-0004 2020-06-18
1437775301 Joseph John Arellano Emergency Medicine 1120 15th St, Augusta, GA 30912-0004 2020-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497198154 Brittany Rose Waters Dentist 2070 Reserve Ln, Augusta, GA 30907-6215 2013-04-12
1366708653 June Murakaru Dentist 1120 15th St # Gc-2133, Augusta, GA 30912-0004 2012-04-11
1922188085 Phillip Hickson Miller Dentist 104 Kings Chapel Rd, Augusta, GA 30907-4001 2006-10-16
1699873786 I Gary Katcoff Dentist 3559 Wheeler Road, Augusta, GA 30909 2006-09-20
1306868872 Michael Milano Dentist 1430 John Wesley Gilbert Drive Au Dental Associates, Augusta, GA 30912-7450 2006-07-24
1982644142 Andrew Durbin Chandler Dentist 525 Pleasant Home Rd, Augusta, GA 30907-3525 2006-06-07
1164490918 Center for Pediatric Dentistry, PC Dentist 1243 Augusta West Pkwy, Augusta, GA 30909-1807 2006-03-09
1245879006 Pediatric Dental Associates of Atlanta Dentist 525 Pleasant Home Rd, Augusta, GA 30907-3525 2019-12-26
1801433750 Mainely Kids & Teens, LLC Dentist 8 Shuman Ave, Augusta, ME 04330-7751 2019-12-10
1669815296 Andrew Shoemaker Dentist 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 2013-04-13
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 30912

Improve Information

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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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