MEDICARE: BIRD KIND LLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1982566360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRD KIND LLC

Provider Business Mailing Address
First Line	:	1235 ROBINSON RD STE H
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-3832
Country	:	US
Telephone Number	:	770-487-1880
Fax Number	:	770-487-1851

Provider Business Practice Location Address
First Line	:	1235 ROBINSON RD STE H
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-3832
Country	:	US
Telephone Number	:	770-487-1880
Fax Number	:	770-487-1851

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JACQUELINE DELASH
Credential	:	DMD
Telephone Number	:	770-519-3456

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

Similar Medicare Providers

1114922382 — DR. RONALD CARL WILCOX D.D.S.
Practice Location Address:

1235 ROBINSON RD , STE H
PEACHTREE CITY, GA
30269-3832

Practice Phone: 770-487-1880
Practice Fax: 770-487-1851

1275916728 — DR. JACQUELINE DELASH DMD, MBA, MPH
Practice Location Address:

1235 ROBINSON RD STE H
PEACHTREE CITY, GA
30269-3832

Practice Phone: 770-487-1880
Practice Fax: 770-487-1851

1194542928 — MAGNOLIA LANE GA PARTNERS LLC
Practice Location Address:

1235 ROBINSON RD STE H
PEACHTREE CITY, GA
30269-3832

Practice Phone: 770-487-1880
Practice Fax: 770-487-1851

1417085952 — MR. WILLIAM G ANSPACH DDS
Practice Location Address:

1177 N DIVISION ST , STE 1
CARSON CITY, NV
89703-3832

Practice Phone: 775-883-3434
Practice Fax: 775-885-9985

1295796597 — DR. KARAN E ALLBRIGHT PHD
Practice Location Address:

3832 N MERIDIAN AVE
OKLAHOMA CITY, OK
73112-2820

Practice Phone: 405-949-9322
Practice Fax: 405-949-9321

1386605293 — DR. CATHARINE ADELE ABBOTT PHD
Practice Location Address:

3832 N MERIDIAN AVE
OKLAHOMA CITY, OK
73112-2820

Practice Phone: 405-949-9322
Practice Fax: 405-949-9321

Directions to “BIRD KIND LLC ” 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.