MEDICARE: CHRISTINE MARIE TALEGAONKAR DMD, MD

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	0401419350	VA
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	0438000534	VA
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN124034	GA
4	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DRPM2060	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497314454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MARIE TALEGAONKAR DMD, MD

Provider Business Mailing Address
First Line	:	1880 W OAK PKWY STE 111
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-2274
Country	:	US
Telephone Number	:	678-905-9066
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 W OAK PKWY STE 111
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-2274
Country	:	US
Telephone Number	:	678-905-9066
Fax Number	:

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

Provider Enumeration Date	:	06/12/2019
Last Update Date	:	12/05/2025

Similar Medicare Providers

1124084918 — DR. LOUIS HENRY WILLIAMS JR. PHARMD.
Practice Location Address:

1880 W OAK PKWY STE 104
MARIETTA, GA
30062-2274

Practice Phone: 219-201-3120
Practice Fax:

1518855634 — NORTH GEORGIA HEALTHCARE PARTNERS LLC
Practice Location Address:

1880 W OAK PKWY STE 104
MARIETTA, GA
30062-2274

Practice Phone: 219-201-3120
Practice Fax:

1629438338 — MRS. ALICE MARIE EDWARDS LMFT
Practice Location Address:

2854 JOHNSON FERRY RD STE 200
MARIETTA, GA
30062-5699

Practice Phone: 404-270-0683
Practice Fax:

1164266458 — TIMOTHY GROSS DC
Practice Location Address:

1323 ROSWELL RD
MARIETTA, GA
30062-3667

Practice Phone: 770-476-2056
Practice Fax: 770-794-3038

1376406462 — SHIVANI S BHARAT
Practice Location Address:

2850 JOHNSON FERRY RD STE 200250
MARIETTA, GA
30062-5684

Practice Phone: 678-691-8130
Practice Fax:

1205839925 — CLARENCE LYN CROOMS M.D.
Practice Location Address:

3823 ROSWELL RD , SUITE 202
MARIETTA, GA
30062-6278

Practice Phone: 770-579-8558
Practice Fax: 770-973-1934

Directions to “ CHRISTINE MARIE TALEGAONKAR DMD, MD” 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 © 2007-2025 (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.