Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467671339 Individual Practitioner Female Practitioner

Maxine Handsor , DA

Dental Assistant • Lilburn, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Maxine Handsor, DA is a registered healthcare professional specializing in Dental Assistant in Lilburn, GA. Official NPI practice address is registered at 609 BEAVER RUIN RD NW STE A.

Practice Location & Contact Primary Location

Practice Address

609 Beaver Ruin Rd Nw Ste A

Lilburn, GA 300473401

Telephone 7709253300
Fax 7709253302
Associated Practice Facility / Clinic
🏢 Platinum Dental Of Lilburn Facility NPI 1154448850

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Lilburn, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Lilburn, GA (93 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

Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

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

8 Associated Practitioners

Doctor of Dental Surgery

Dr. Mark Thebaut , DDS

Dentist - Pediatric Dentistry

NPI 1245332238

Doctor of Dental Surgery

NPI 1306065271
Christina Watts , DA

Dental Assistant

NPI 1649499500
Dr. Gregory Clepper , DMD

Dentist - General Practice

NPI 1831291574

Doctor of Dental Medicine

Jina Lee

Dentist - General Practice

NPI 1861310237

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 609 BEAVER RUIN RD NW STE A, LILBURN, GA 300473401 (Tel: 7709253300)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1413 LINCOLN COURT AVE NE, ATLANTA, GA 303291827 (Tel: 4046334043)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MAXINE HANDSOR, D.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dental Assistant

🟢
Initial NPI Registration & Enumeration April 25, 2007

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: 1467671339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1413 Lincoln Court Ave Ne

Atlanta, GA 303291827

Phone: 4046334043

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.