Dr Jevae Leniece Nelson, DDS, DMSC | |
4070 Lavista Rd Unit 102, Tucker, GA 30084-5228 | |
(770) 515-8532 | |
Not Available |
Full Name | Dr Jevae Leniece Nelson |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 4070 Lavista Rd Unit 102, Tucker, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225527914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN122573 (Georgia) | Primary |
1223G0001X | Dentist - General Practice | DN1857897 (Massachusetts) | Secondary |
Entity Name | Dimock Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242 |
Mailing Address | Practice Location Address |
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Dr Jevae Leniece Nelson, DDS, DMSC 2554 Sibley Dr Ne, Atlanta, GA 30324-3104 Ph: (816) 304-0482 | Dr Jevae Leniece Nelson, DDS, DMSC 4070 Lavista Rd Unit 102, Tucker, GA 30084-5228 Ph: (770) 515-8532 |
Dr. Ravi Chandran, DMD PHD Dentist Medicare: Accepting Medicare Assignments Practice Location: 4915 Lavista Rd, Tucker, GA 30084 Phone: 770-934-1907 Fax: 770-493-4900 | |
Dr. Victor Morris Benbenisty, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2260 Northlake Pkwy, Suite 202, Tucker, GA 30084 Phone: 770-938-5530 | |
Harry Mcclure Chase, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2018 Montreal Rd, Tucker, GA 30084 Phone: 770-934-2728 Fax: 770-934-1127 | |
Dr. Harold Weldon Fountain Jr., D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 4385 Hugh Howell Rd., Tucker, GA 30084 Phone: 770-493-7023 Fax: 770-493-7024 | |
Melissa Mcmillion, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1390 Montreal Rd, Tucker, GA 30084 Phone: 770-934-9700 | |
Danny Jeon, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2258 Northlake Pkwy, Suite 200, Tucker, GA 30084 Phone: 678-937-9601 Fax: 678-937-9602 | |
Dr. Bruce Alan Preston, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 4500 Hugh Howell Rd, Suite 310, Tucker, GA 30084 Phone: 770-938-3311 Fax: 770-414-8174 |