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DR. JOHN PAUL MISTRETTA DDS NPI 1174603013


NPI Information

NPI: 1174603013
Provider Name: DR. JOHN PAUL MISTRETTA, DDS
Classification: Dentist - 1223D0001X
Entity Type: Individual

Specialization: Dental Public Health

Address:
99 JESSE HILL JR DRIVE
ATLANTA, GA
ZIP 30303
Phone: (404) 730-1471
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DR. John Paul Mistretta, DDS is a dental public health dentist in Atlanta, GA. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DR. John Paul Mistretta, DDS NPI is 1174603013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

99 JESSE HILL JR DRIVE
ATLANTA, GA
ZIP 30303
Phone: (404) 730-1471
Fax: (404) 730-1475

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public HealthDN008955GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100170717EMEDICAIDGEORGIA
200170717KMEDICAIDGEORGIA
300170717RMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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