MEDICARE: JAISHANKAR THIRUMALAI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN013405	GA

General Provider Information

NPI Number	:	1295812857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAISHANKAR THIRUMALAI DMD

Provider Business Mailing Address
First Line	:	5130 DAVIDSON RD
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1806 OVER LAKE DR SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-1745
Country	:	US
Telephone Number	:	770-760-7900
Fax Number	:	770-760-1375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/18/2008

Similar Medicare Providers

1821511056 — DR. BHAGWATI SHARMA
Practice Location Address:

1806 OVER LAKE DR SE
CONYERS, GA
30013-1745

Practice Phone: 770-760-7900
Practice Fax:

1679551790 — MARK SHURETT DDS PC
Practice Location Address:

1806 OVER LAKE DR SE
CONYERS, GA
30013-1745

Practice Phone: 770-760-7900
Practice Fax: 770-760-1375

1598799322 — THE KROGER CO
Practice Location Address:

1745 HIGHWAY 138 SE
CONYERS, GA
30013-5748

Practice Phone: 770-922-0447
Practice Fax: 770-918-1796

1396962262 — SATPAL SHIKH D.M.D
Practice Location Address:

1745 HIGHWAY 138 SE STE C3
CONYERS, GA
30013-5710

Practice Phone: 770-393-9111
Practice Fax:

1831363670 — MARK SHURETT DDS PC
Practice Location Address:

1806 OVER LAKE DR SE
CONYERS, GA
30013-1745

Practice Phone: 770-760-7900
Practice Fax: 770-760-1375

1558535393 — MARK SHURETT DDS PC
Practice Location Address:

1806 OVER LAKE DR SE
CONYERS, GA
30013-1745

Practice Phone: 770-760-7900
Practice Fax: 770-760-1375

Directions to “ JAISHANKAR THIRUMALAI DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.