DR. STEPHANIE JOY DREW D.M.D. NPI 1780649202

NPI Information

NPI: 1780649202
Provider Name: DR. STEPHANIE JOY DREW, D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
1365 CLIFTON RD NE STE 2300
ATLANTA, GA
ZIP 30322
Phone: (404) 778-4555
Get Directions

DR. Stephanie Joy Drew, D.M.D. is an oral and maxillofacial surgery dentist in Atlanta, GA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Stephanie Joy Drew, D.M.D. NPI is 1780649202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1365 CLIFTON RD NE STE 2300
ATLANTA, GA
ZIP 30322-405
Phone: (404) 778-4555
Fax: (404) 778-5879

The NPI 1780649202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/18/2006 and was last updated on 11/8/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223X0008X	Dentist	Oral and Maxillofacial Radiology	042829	NEW YORK	No
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	042829	NEW YORK	No
3	1223P0106X	Dentist	Oral and Maxillofacial Pathology	042829	NEW YORK	No
4	1223S0112X	Dentist	Oral and Maxillofacial Surgery	042829	NEW YORK	No
5	204E00000X	Oral & Maxillofacial Surgery		042829	NEW YORK	No
6	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DN015385	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01463525	MEDICAID	NEW YORK
2	U40689	MEDICARE UPIN	NEW YORK

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

NPI Synchronization or Removal

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