DR. PRETLOW LEE STEVENSON JR. (NPI# 1003834466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003834466 |
| Entity Type | Individual |
| Full Name | DR. PRETLOW LEE STEVENSON JR. |
| Credential | DDS |
| Practice Address |
3412 Columbia St Portsmouth VA 23707 |
| Practice Telephone | 7573975611 |
| Practice Fax Number | 7573975573 |
| Mailing Telephone | 7573975611 |
| Mailing Fax Number | 7573975573 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5195 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4815115 | 05 | |
| AETNA DMO INSURANCE | 028450 | 01 | |
| VA | BLUE CROSS INS | 005864 | 01 |
| DOMINION INSURANCE | 322 | 01 | |
| VA | CIGNA INS | 142470 | 01 |
| Street Address |
3412 COLUMBIA ST |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
| 1861978835 | Hardy Djulianto | Dentist | 620 John Paul Jones Cir Bldg 12nd, Portsmouth, VA 23708-2111 | 2018-07-12 |
| 1942795877 | Cody Lee Sullivan | Dentist | 620 John Paul Jones Cir Bldg 1, Portsmouth, VA 23708-2111 | 2018-06-23 |
| 1629324058 | Nadia M. Yousefinejad | Dentist | 720 John Paul Jones Circle, Portsmouth, VA 23708 | 2012-08-03 |
| 1780821199 | Jeffrey Lewis Culbreath | Dentist | 475 Water St Apt 402, Portsmouth, VA 23704-3842 | 2009-01-08 |
| 1912152943 | Shawnee State University | Dentist | 940 Second St., Health Sciences Dept., Portsmouth, OH 45662-4344 | 2008-11-18 |
| 1033320866 | Harvey Professional Association | Dentist | 610 Islington St, Portsmouth, NH 03801-4216 | 2007-05-24 |
| 1295948321 | David Robert Mays | Dentist | 1430 Chillicothe St, Portsmouth, OH 45662-3444 | 2007-05-07 |
| 1194845503 | Young Chan Park | Dentist | 1600 Woodbury Ave, Portsmouth, NH 03801-3250 | 2007-03-30 |
| 1437292760 | Aquidneck Dental, Inc. | Dentist | 21 King Charles Drive, Portsmouth, RI 02871 | 2007-02-15 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.