JESSE ELLSWORTH (NPI# 1043662778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043662778 |
Entity Type | Individual |
Full Name | JESSE ELLSWORTH |
Credential | DMD |
Practice Address |
4972 Highway 58 Suite 114 Chattanooga TN 37416-1867 |
Mailing Address |
7003 Shallowford Rd Suite 102 Chattanooga TN 37421-6722 |
Practice Telephone | 4238945223 |
Practice Fax Number | 4238945224 |
Mailing Telephone | 4238057587 |
Mailing Fax Number | 4238057590 |
Enumeration Date | 2016-07-06 |
Last Update Date | 2016-07-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | DS10287 | TN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063827582 | Jesse Ellsworth | Emergency Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2014-06-23 |
Street Address |
4972 HIGHWAY 58 SUITE 114 |
City | CHATTANOOGA |
State | TN |
Zip Code | 37416-1867 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073170718 | A Pharmacy LLC | Pharmacy | 4767 Hwy 58, Suite 101, Chattanooga, TN 37416 | 2019-05-28 |
1639653835 | Paige Mayer | Pharmacist | 4542 Tn- 58, Chattanooga, TN 37416 | 2018-09-24 |
1528501517 | Tabitha Richelle Bell | Home Health | 6379 Plantation Dr, Chatt, TN 37416 | 2016-11-23 |
1588785109 | Mark Stephen Cowart | Dentist | 4355 Hwy 58, #103a, Chattanooga, TN 37416 | 2007-04-02 |
1558485334 | Robert Joseph Gallien | Dentist | 4620 Hwy 58, Chattanooga, TN 37416 | 2007-03-19 |
1154464782 | Carol Guess | Nurse Practitioner | 7380 Volkswagen Drive, Suite #110, Chattanooga, TN 37416 | 2007-02-14 |
1073615464 | Kristen Beeler Conner | Dentist | 4972 Highway 58 Ste 114, Chattanooga, TN 37416 | 2006-09-05 |
1003865536 | Stephen C Miller | Family Medicine | 7380 Volkswagon Drive, Suite 110, Chattanooga, TN 37416 | 2006-05-10 |
1740773241 | Nicholas Adam Jenkins | Physical Therapist | 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 | 2018-06-08 |
1639695034 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4434 Highway 58, Chattanooga, TN 37416 | 2017-08-17 |
Find all providers in zip 37416 |
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 |
---|---|---|---|---|
1700428893 | Davis Family Dental Care | Dentist | 7003 Shallowford Rd Ste 101, Chattanooga, TN 37421-6722 | 2019-10-10 |
1477112621 | Lawrence Songyuan Lu | Dentist | 1421 Armour St, Chattanooga, TN 37412-2812 | 2019-06-11 |
1548703945 | Emerald Dental Pllc | Dentist | 1515 Gunbarrel Rd Ste 126, Chattanooga, TN 37421-0001 | 2016-12-02 |
1316390206 | Andrea C Marable | Dentist | 8021 E Brainerd Rd, Chattanooga, TN 37421-3206 | 2016-07-15 |
1053770800 | Alani Dental Center | Dentist | 1825 Gunbarrel Rd, Suite 400b, Chattanooga, TN 37421-3130 | 2016-02-22 |
1376902809 | Facial Dental Center, P.C. | Dentist | 1720 Gunbarrel Rd Ste 310, Chattanooga, TN 37421-3192 | 2016-02-11 |
1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
1497181903 | Nisha Bhanu Patel | Dentist | 7003 Shallowford Rd Ste 202, Chattanooga, TN 37421 | 2013-09-17 |
1225479926 | Jennifer Flanagan Cole | Dentist | 313 Manufacturers Rd, Suite 207, Chattanooga, TN 37405-3274 | 2013-07-10 |
1417250432 | Asdent Corporation | Dentist | 1625 Mccallie Ave, Chattanooga, TN 37404-3022 | 2010-12-13 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37416 |
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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.