DR. BRYANT RIDGWAY BOSWELL (NPI# 1083789937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083789937 |
Entity Type | Individual |
Full Name | DR. BRYANT RIDGWAY BOSWELL |
Credential | DDS |
Practice Address |
1513 Lakeland Dr Suite 201 Jackson MS 39216 |
Practice Telephone | 6013661242 |
Practice Fax Number | 6013661275 |
Mailing Telephone | 6013661242 |
Mailing Fax Number | 6013661275 |
Enumeration Date | 2006-11-22 |
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 | 1451 71 | MS | Dental Providers |
Street Address |
1513 LAKELAND DR SUITE 201 |
City | JACKSON |
State | MS |
Zip Code | 39216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902882251 | Mississippi Asthma & Allergy Clinic Pa | Allergy & Immunology | 1513 Lakeland Dr, Ste 100, Jackson, MS 39216-4829 | 2005-12-19 |
1003375197 | Robert Caleb Cauthen | Counselor | 1513 Lakeland Dr, Jackson, MS 39216-4829 | 2019-03-18 |
1154897858 | Monica Roberts | Counselor | 1513 Lakeland Dr, Jackson, MS 39216-4829 | 2018-10-19 |
1700361763 | Laura Katherine Barker | Behavioral Analyst | 1513 Lakeland Dr, Jackson, MS 39216-4829 | 2018-09-26 |
1528543584 | Robyn Riley Brewer | Behavioral Analyst | 1513 Lakeland Dr, Jackson, MS 39216-4829 | 2018-09-26 |
1124315742 | Claire Brabec Rosenblatt | Allergy & Immunology | 1513 Lakeland Dr, Suite 101, Jackson, MS 39216-4829 | 2011-07-03 |
1902025752 | The Children's Clinic, Pllc | Pediatrics | 1513 Lakeland Dr, Suite 101, Jackson, MS 39216-4829 | 2007-04-24 |
1942424734 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 1513 Lakeland Dr, Suite 200, Jackson, MS 39216-4829 | 2007-04-12 |
1710965694 | James R Haltom | Allergy & Immunology | 1513 Lakeland Dr, Ste 101, Jackson, MS 39216-4829 | 2006-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
Find all providers in zip 39216 |
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 |
---|---|---|---|---|
1619595295 | Charles Austin Huffman | Dentist | 1189 E County Line Rd, Jackson, MS 39211-1836 | 2020-07-09 |
1184249278 | Sleep Better Solutions LLC | Dentist | 9 Chatwick Cv, Jackson, TN 38305-5642 | 2020-06-15 |
1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
1124689864 | Hannah Farrar | Dentist | 2064 S Highland Ave, Jackson, TN 38301-7741 | 2019-06-24 |
1417515214 | Richard Yoo | Dentist | 3857 Cooper St Ofc, Jackson, MI 49201-7547 | 2019-06-05 |
1487148078 | Tanvi Patil | Dentist | 1074 Jackson Crossing, Jackson, MI 49202-2039 | 2018-06-18 |
1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
1497292239 | Advanced Dental Clinic | Dentist | 1555 E County Line Road, Jackson, MS 39211 | 2017-01-31 |
1598131336 | S Kaur Dds Inc | Dentist | 12120 Industry Blvd Ste 35, Jackson, CA 95642-9374 | 2015-08-17 |
1841675931 | Miriam Tygier Furlong | Dentist | 186 W Veterans Hwy, Jackson, NJ 08527-3410 | 2015-07-30 |
Find all providers in JACKSON |
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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.