DR. NICHOLAS LUKE EGBERT (NPI# 1093965857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093965857 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS LUKE EGBERT |
| Credential | D.D.S. |
| Practice Address |
7535 Poplar Ave Memphis TN 38138-3812 |
| Practice Telephone | 9017544200 |
| Practice Fax Number | 9017547511 |
| Mailing Telephone | 9017544200 |
| Mailing Fax Number | 9017547511 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DS0000008922 | TN | Dental Providers |
| Street Address |
7535 POPLAR AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38138-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134351216 | Robert Neal Blair | Dentist | 7535 Poplar Ave, Memphis, TN 38138-3812 | 2009-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245374271 | Marc A. Cohen | Dentist | 5356 Estate Office Dr, Suite 1, Memphis, TN 38119-3664 | 2007-02-15 |
| 1992871388 | William Rayford Priester IIi | Dentist | 5866 Ridge Bend Rd, Suite 1, Memphis, TN 38120-9477 | 2006-11-28 |
| 1750469953 | Michael A Smith | Dentist | 6244 Poplar Ave, Memphis, TN 38119-4732 | 2006-11-02 |
| 1396820312 | Felix Springfield | Dentist | 780 Ridge Lake Blvd Ste 201, Memphis, TN 38120-9426 | 2006-10-26 |
| 1548373228 | Michael A Mcbride | Dentist | 5336 Estate Office Dr, Suite 1, Memphis, TN 38119-3635 | 2006-08-16 |
| 1003846569 | David Richard Cagna | Dentist | Uthsc College of Dentistry, 875 Union Avenue, Memphis, TN 38163-0001 | 2006-07-03 |
| 1134128192 | Carl Walter Schulter | Dentist | 795 Ridge Lake Blvd, Memphis, TN 38120-9475 | 2005-07-20 |
| 1982249769 | Leila Marie Sears | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-11-15 |
| 1699240879 | Brian Ashford Brodine | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2018-10-03 |
| 1881183960 | Mohamed Amer Shafter | Dentist | 875 Union Ave Fl 5, Memphis, TN 38103-3513 | 2018-05-04 |
| Find all providers in MEMPHIS | ||||
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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.