Manise Labady-Davis, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DM015246 Issued in GA

Practice address

4930 Governors Dr
Forest Park, GA 30297-6101

Phone

(404) 363-1700

NPI assigned

Jul 23, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forest Parkway Dental Group

  • General Practice Dentistry
  • Forest Park, GA
  • NPI 1770622201
  NPD (past)
• Firestone Dental Group , P.L.L.C.

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1629129242
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1407169147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 GOVERNORS DR STE 405",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976101",
            "telephone_number": "901-233-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 GOVERNORS DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976101",
            "telephone_number": "404-363-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABADY-DAVIS",
        "first_name": "MANISE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DM015246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521957",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayton Pharmacy LLC
• Meka Robinzine Kennedy, D.C.
• Klean Plate Community Outreach
• Thiruvannathapur N Krishnamoorthy, M.D.
• Krol Nine LLC
• Tina Lee
• Tonya Denise Lee
• Guinevere Theresa Lewis, LMT
• Living Hope Residence, LLC
• Daphne M Lofton, PHARMD

• Dentist in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.