JENNIFER L. MCCOY, DDS, LLC (NPI# 1972922276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972922276 |
| Entity Type | Organization |
| Organization Name | JENNIFER L. MCCOY, DDS, LLC |
| Other Organization Name | JENNIFER L MCCOY DDS COSMETIC AND FAMILY DENTISTRY |
| Practice Address |
3930 Charleston Market St Ste B1 Suwanee GA 30024-8757 |
| Mailing Address |
982 Little Darby Ln Suwanee GA 30024-7676 |
| Practice Telephone | 3103511292 |
| Mailing Telephone | 5626651366 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | DR. JENNIFER LYNN MCCOY (MANAGING MEMBER) |
| Authorized Official Telephone | 5626651366 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013561 | GA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Jennifer L McCoy DDS Cosmetic and Family Dentistry | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 365 W Pike St Ste 101, Lawrenceville, GA 300464862 | 7709632424 |
| Street Address |
3930 CHARLESTON MARKET ST STE B1 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-8757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518598325 | Redwood Dental of Georgia | Dentist | 6916 Mcginnis Ferry Rd Ste 500, Suwanee, GA 30024-1258 | 2020-01-30 |
| 1952962854 | Liudmila Poznyak | Dentist | 4245 Johns Creek Pkwy Ste C, Suwanee, GA 30024-9122 | 2019-06-22 |
| 1194217398 | Farah Kim | Dentist | 3250 Camellia Ln, Suwanee, GA 30024-5335 | 2018-06-04 |
| 1164872057 | Davis Smith | Dentist | 2627 Peachtree Pkwy Ste 440, Suwanee, GA 30024-1018 | 2016-06-21 |
| 1285081950 | Tarang Choxi | Dentist | 1039 Peachtree Industrial Blvd Ste A116, Suwanee, GA 30024-8766 | 2016-05-23 |
| 1265712483 | Fabiola Isabel Palacios-barrionuevo | Dentist | 3920 Shiloh Ridge Run, Suwanee, GA 30024-6015 | 2011-08-18 |
| 1033410857 | Dentistry for Children of Suwanee, LLC | Dentist | 3855 Johns Creek Pkwy Ste D, Suwanee, GA 30024-1293 | 2010-11-10 |
| 1932351731 | Georgia Dental Professionals, PC | Dentist | 3320 Lawrenceville Suwanee Rd, Suite 2f, Suwanee, GA 30024-6542 | 2008-10-13 |
| 1114116365 | Robert H Shackelford | Dentist | 3915 Johns Creek Ct, Ste 110, Suwanee, GA 30024-1265 | 2007-10-23 |
| 1801089321 | Ami Desai Majmundar | Dentist | 4285 Johns Creek Pkwy, B, Suwanee, GA 30024-6038 | 2007-08-20 |
| Find all providers in SUWANEE | ||||
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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.