Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407169147 Individual Practitioner Female Practitioner

Dr. Manise Labady-Davis , DDS

Dentist • Forest Park, GA

Professional Overview & Biography Verified Profile Summary

Dr. Manise Labady-Davis, DDS is a registered healthcare professional specializing in Dentist in Forest Park, GA. Practice services are available at 4930 GOVERNORS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4930 Governors Dr

Forest Park, GA 302976101

Telephone 4043631700
Associated Practice Facility / Clinic
🏢 Forest Parkway Dental Group Facility NPI 1770622201

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Forest Park, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Forest Park, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DM015246

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1521957 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Syretta Wells , DDS

Dentist - Prosthodontics

NPI 1184875882

Doctor of Dental Surgery

Sung-Yun Woo

Dentist - General Practice

NPI 1588864052

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 08, 2022

Registered at 4930 GOVERNORS DR, FOREST PARK, GA 302976101 (Tel: 4043631700)

📍
Updated Business Mailing Address February 08, 2022

Registered at 4930 GOVERNORS DR STE 405, FOREST PARK, GA 302976101 (Tel: 9012336800)

👤
Provider Name / Credentials Updated February 08, 2022

Recorded as MANISE LABADY-DAVIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2022

Dentist (License #DM015246 in GA)

NPI Profile Active October 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2014

Registered at 1216 THOMAS ST, MEMPHIS, TN 381071703 (Tel: 9015253800)

📍
Updated Business Mailing Address October 07, 2014

Registered at 1216 THOMAS ST, MEMPHIS, TN 381071703 (Tel: 9015253800)

👤
Provider Name / Credentials Updated October 07, 2014

Recorded as MANISE LABADY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2014

Dentist (License #9182 in TN)

🟢
Initial NPI Registration & Enumeration July 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407169147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2010
Last Update: February 08, 2022
Sole Proprietor: No

Mailing Address

4930 Governors Dr Ste 405

Forest Park, GA 302976101

Phone: 9012336800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.