MRS. JESSICA LAUREN MEPHAM (NPI# 1073981700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073981700 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LAUREN MEPHAM |
| Other Name | MISS JESSICA LAUREN WILEY |
| Credential | DDS |
| Practice Address |
3715 Weston Ave Weston WI 54476-5243 |
| Practice Telephone | 5173597898 |
| Mailing Telephone | 5173597898 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10130 | TN | Dental Providers |
| Street Address |
3715 WESTON AVE |
| City | WESTON |
| State | WI |
| Zip Code | 54476-5243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164935029 | Dental Visions, LLC | Dentist | 3715 Weston Ave, Weston, WI 54476-5243 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| 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 |
|---|---|---|---|---|
| 1841845401 | Rasoul Arbabi Kalati | Dentist | 853 Tanglewood Cir, Weston, FL 33327-1840 | 2019-08-09 |
| 1437711900 | Natalia Matute | Dentist | 1865 N Corporate Lakes Blvd Ste 2b, Weston, FL 33326-3273 | 2019-07-03 |
| 1285294561 | Justin Hosseini | Dentist | 1040 Weston Rd Ste 225, Weston, FL 33326-1912 | 2019-06-18 |
| 1477112076 | Gayane Avakyan | Dentist | 16674 Hemingway Dr, Weston, FL 33326-3101 | 2019-06-07 |
| 1871092791 | Anandi Pratap | Dentist | 17 Audubon Rd, Weston, MA 02493-1160 | 2018-02-06 |
| 1679095806 | Ben Paul Wasleske | Dentist | 7207 River Trail Dr, Weston, WI 54476-7710 | 2017-07-10 |
| 1023468766 | John Paul Aylmer | Dentist | 2239 N Commerce Pkwy Ste 1, Weston, FL 33326 | 2016-06-14 |
| 1396111522 | Swetha Sajja | Dentist | 120 Lakeview Dr, Apt #202, Weston, FL 33326-2510 | 2015-08-11 |
| 1790161693 | Raynel Sarduy | Dentist | 193 Lakeview Dr Apt 202, Weston, FL 33326-2575 | 2015-08-03 |
| 1902281215 | Maria Eugenia Thomas | Dentist | 170 Bonaventure Blvd Apt 310, Weston, FL 33326-1499 | 2015-07-28 |
| Find all providers in WESTON | ||||
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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.