DR. ISAAC FORDJOUR (NPI# 1013905165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013905165 |
| Entity Type | Individual |
| Full Name | DR. ISAAC FORDJOUR |
| Credential | D.D.S. |
| Practice Address |
910 Madison Ave Suite 710 Memphis TN 38103-3403 |
| Practice Telephone | 9015263988 |
| Practice Fax Number | 9015269807 |
| Mailing Telephone | 9015263988 |
| Mailing Fax Number | 9015269807 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS2546 | TN | Dental Providers |
| Street Address |
910 MADISON AVE SUITE 710 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736857 | Hisham Neyazi Abu Farsak | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Memphis, TN 38103-3403 | 2018-07-09 |
| 1023506607 | Veronica Easton | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Memphis, TN 38103 | 2018-04-29 |
| 1386172773 | David Allen Cooper | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Memphis, TN 38103-3403 | 2017-05-30 |
| 1104352293 | University of Tennessee Health Science Center | General Acute Care Hospital | 910 Madison Ave, Ste 1031, Memphis, TN 38103-3403 | 2017-05-10 |
| 1619320868 | Muhammad Hassaan Shahid | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Memphis, TN 38103-3403 | 2016-07-22 |
| 1427403278 | Xiangxia Liu | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Suite 315, Memphis, TN 38103-3403 | 2016-04-29 |
| 1619331220 | Patrick Probst | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Suite 409, Memphis, TN 38103-3403 | 2016-04-09 |
| 1033598248 | Steven D Kozusko | Plastic Surgery | 910 Madison Ave, Memphis, TN 38103-3403 | 2015-05-20 |
| 1588042675 | Joseph Vito Russo | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Suite 1031, Memphis, TN 38103-3403 | 2015-05-11 |
| 1841678901 | Joshua James Little | Ophthalmology | 910 Madison Ave, Suite 1031, Memphis, TN 38103-3403 | 2015-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376939645 | Matthew Breit | Dentist | 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 | 2015-04-13 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1427471382 | Oral & Maxillofacial Surgery Clinic Inc. | Dentist | 910 Madison Ave Ste 710, Memphis, TN 38103-3453 | 2014-01-29 |
| 1225132590 | Harris E Williams | Dentist | 6621 Kirby Center Cv, Memphis, TN 38115-4313 | 2006-09-08 |
| 1225143720 | John Shrader Cannon | Dentist | 1661 Aaron Brenner Dr Ste 105, Memphis, TN 38120-1467 | 2006-08-21 |
| 1356305569 | James M. Christian | Dentist | 875 Union Avenue, The University of Tennessee, Memphis, TN 38133-3513 | 2006-04-14 |
| 1447231253 | Joseph Lawrence Mcrae | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2005-11-09 |
| 1891785655 | Richard D Meekins Jr. | Dentist | 1251 Wesley Dr, 101, Memphis, TN 38116-6442 | 2005-10-24 |
| 1366430647 | Lawrence W Weeda Jr. | Dentist | 875 Union Ave, Room N-328, Memphis, TN 38163-0001 | 2005-10-11 |
| 1194717256 | Gilbert G Stein | Dentist | 1715 Kirby Pkwy, Suite 101, Memphis, TN 38120-4320 | 2005-08-16 |
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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.