OTIS KENDALL BAILEY


Address: 1217 Willow Glen River Rd, Alexandria, LA 71302-5454
Phone: 3184874400

OTIS KENDALL BAILEY (NPI# 1093921058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093921058
Entity Type Individual
Full Name OTIS KENDALL BAILEY
Credential DDS
Practice Address 1217 Willow Glen River Rd
Alexandria
LA 71302-5454
Practice Telephone 3184874400
Mailing Telephone 3184874400
Enumeration Date 2007-05-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 1610 LA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1816108 05

Office Location

Street Address 1217 WILLOW GLEN RIVER RD
City ALEXANDRIA
State LA
Zip Code 71302-5454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568404838 Rapides Primary Health Care Center, Incorporated Preventive Medicine 1217 Willow Glen River Rd, Alexandria, LA 71302-5454 2006-06-12
1376055228 Melissa Louise Mcclain Social Worker 1217 Willow Glen River Rd, Alexandria, LA 71302-5458 2017-11-01
1780988097 Theresa Lavelle Earthly Social Worker 1217 Willow Glen River Rd, Alexandria, LA 71302-5454 2010-12-29
1750584827 Rapides Primary Healthcare Center, Inc Clinic/Center 1217 Willow Glen River Rd, Alexandria, LA 71302-5454 2007-06-07
1720280431 Rapides Primary Healthcare Center, Inc Clinic/Center 1217 Willow Glen River Rd, Alexandria, LA 71302-5454 2007-06-04
1043425796 Wylea Marie Gray-winfrey Nurse Practitioner 1217 Willow Glen River Rd, Alexandria, LA 71302-5454 2007-05-14
1619904422 Claudia Lawson Social Worker 1217 Willow Glen River Rd, Alexandria, LA 71302-5454 2006-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184257271 Brianchelle Taraneka Batiste Counselor 3600 Jackson Street, Alexandria, LA 71302 2020-02-17
1245716133 Lakeshia Monique Boyd Counselor 3805 Jennifer Street, Alexandria, LA 71302 2018-07-14
1730636861 Mid State Orthopaedics & Sports Medicine Center LLC Orthopaedic Surgery 224 Pecan Park, Suite F, Alexandria, LA 71302 2016-09-07
1548632227 Quintell Turner Case Manager/Care Coordinator 235 Charles Edward Ct, Alexandria, LA 71302 2015-10-21
1902026032 Amian Care Services, LLC Technician 3600 Government St., Alexandria, LA 71302 2007-04-30
1336363068 Cheryl Thornhill Lachney Registered Nurse 4606 Lee St., Alexandria, LA 71302 2007-04-12
1891703294 Fusion Services,llc Social Worker 3750 Government Street, Alexandria, LA 71302 2006-08-03
1811422199 Christina Coney Community Health Worker 4606 Lee St, Alexandria, LA 71302 2017-04-25
1861940298 Beverly Johnson Registered Nurse 3600 Government St, Alexandria, LA 71302 2016-09-14
1609261981 Amian Care Services, LLC Clinic/Center 3600 Government St., Alexandria, LA 71302 2015-04-02
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184221616 American Dental Pllc Dentist 4601 Pinecrest Office Park Dr Ste D, Alexandria, VA 22312-1442 2020-10-07
1013523380 Nour Hussam Tellawi Dentist 5911 Edsall Rd Apt 306, Alexandria, VA 22304-4112 2020-09-21
1639710429 Lake Barcroft Dental Group, PC Dentist 6464 A1 Lincolnia Rd, Alexandria, VA 22312 2019-10-02
1588120166 Adams Dental Pplc Dentist 111 S Public Sq, Alexandria, TN 37012-2140 2019-02-19
1174023667 Smile Doctors Virginia, Pllc Dentist 4605 Pinecrest Office Park Dr Ste B, Alexandria, VA 22312-1442 2018-02-20
1669902615 Fawwaz Faiz Alotaibi Dentist 6161 Edsall Rd Apt 1608, Alexandria, VA 22304-4141 2017-06-13
1326595216 Lester Mobile Dentistry Dentist 248 Belleau Wood Blvd, Alexandria, LA 71303-2499 2016-09-08
1922552132 Hilton Dental, Inc. Dentist 3750 Parliament Dr, Alexandria, LA 71303-3011 2016-08-05
1538510599 Jennifer Park Dentist 5750 Dow Ave Apt 241, Alexandria, VA 22304-4071 2016-06-30
1811347867 Dustin Matthew Ditch Dentist 510 22nd Ave E Ste 702, Alexandria, MN 56308 2016-06-20
Find all providers in ALEXANDRIA

Competitor

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City ALEXANDRIA
Zip Code 71302

Improve Information

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Dataset Information

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.

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