ABU FAISAL MOHAMMAD HASME (NPI# 1063954139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063954139 |
| Entity Type | Individual |
| Full Name | ABU FAISAL MOHAMMAD HASME |
| Credential | D.D.S. |
| Practice Address |
465 Medical Center Pkwy Clinton AR 72031-7946 |
| Mailing Address |
Po Box 1060 Marshall AR 72650-1060 |
| Practice Telephone | 5017458811 |
| Practice Fax Number | 5017455042 |
| Mailing Telephone | 8704485101 |
| Mailing Fax Number | 8704483767 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4190 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 221694608 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 S School St, Dermott, AR 716382127 | 8705383355 | 8558114203 |
| Street Address |
465 MEDICAL CENTER PKWY |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-7946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770668014 | Jamie Roger Moore | Dentist | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2006-10-26 |
| 1568071595 | Jesse Blake Kitchens | Dentist | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2020-07-27 |
| 1922625706 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2020-06-29 |
| 1871774075 | David Geidl | Family Medicine | 465 Medical Center Pkwy, Clinton, AR 72031 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| 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 |
|---|---|---|---|---|
| 1811554595 | Samantha Mayes | Dentist | 1108 E Ohio St, Clinton, MO 64735-2458 | 2019-05-28 |
| 1922475144 | Navjeet Ubee | Dentist | 8913 Woodyard Rd Unit B, Clinton, MD 20735-4257 | 2015-08-24 |
| 1477953677 | Vibhor Bidkar | Dentist | 925 S 4th St, Clinton, IA 52732-5726 | 2014-08-26 |
| 1982019279 | Bahru Shikure Nure | Dentist | 9009 Woodyard Rd Unit 103, Clinton, MD 20735-4205 | 2014-06-25 |
| 1699115253 | Crown Hill Dentistry LLC | Dentist | 1792 E State Highway 163, Clinton, IN 47842-0160 | 2013-06-27 |
| 1154668333 | Kevin O'connell Dds LLC | Dentist | 149 E Main St Ste 4, Clinton, CT 06413-2103 | 2013-01-09 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1891082616 | Christopher S Gatehouse | Dentist | 145r E Main St, Clinton, CT 06413-2104 | 2011-06-30 |
| 1114237211 | Jeron Skerritt-ryan | Dentist | 11910 Mary Catherine Dr, Clinton, MD 20735-1018 | 2010-10-07 |
| 1598096596 | Carson Ferris-zeolla D.m.d. Victoria Uryniak D.d.s. | Dentist | Walnut Pond Prof. Bldg., 1484 Rte. 31 N., Clinton, NJ 08809-0314 | 2010-01-15 |
| Find all providers in CLINTON | ||||
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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.