TARA L GREEN (NPI# 1114288438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114288438 |
| Entity Type | Individual |
| Full Name | TARA L GREEN |
| Credential | DDS |
| Practice Address |
4330 Maynardville Hwy Maynardville TN 37807-3618 |
| Mailing Address |
1013 W Highway 24 Moberly MO 65270-3156 |
| Practice Telephone | 8659923849 |
| Practice Fax Number | 8659925166 |
| Mailing Telephone | 6602638181 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS10914 | TN | Dental Providers |
| N | 122300000X | Dentist | 2014027290 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225344 | Tara Renee Green | Pharmacist | 7400 Guilford Dr, Frederick, MD 21704-5183 | 2020-11-04 |
| 1598272866 | Tara Leann Green | Nurse Practitioner | 613 N 2nd St, Rogers, AR 72756-6611 | 2018-01-08 |
| 1346610110 | Tara Green | Speech-Language Pathologist | 1140 Savannah Ridge Rd, Suite 111, Holly Springs, NC 27540-0535 | 2015-10-05 |
| 1316218803 | Tara L Green | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2012-01-16 |
| 1720366602 | Tara Jo Green | Chiropractor | 400 Broadway St, Galena, IL 61036-1902 | 2011-07-26 |
| 1265728265 | Tara Elizabeth Green | Social Worker | 1303 W Noel Ave, Madisonville, KY 42431-1166 | 2011-06-28 |
| 1942536487 | Tara Green | Counselor | 1600 N D St, Mcalester, OK 74501-2314 | 2009-10-18 |
| 1194906875 | Tara Rae Green | Pharmacist | 4635 1st Ave, Evansville, IN 47710-3625 | 2007-11-21 |
| 1366631699 | Tara Lea Green | Physical Therapy Assistant | 1485 International Pkwy, 2051, Heathrow, FL 32746-5303 | 2007-10-23 |
| 1831304658 | Tara Green | General Acute Care Hospital | 30 E Apple St, Ste 5254a, Dayton, OH 45409-2939 | 2007-05-14 |
| Street Address |
4330 MAYNARDVILLE HWY |
| City | MAYNARDVILLE |
| State | TN |
| Zip Code | 37807-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894001 | Jeffrey D Greenwood | Psychiatry & Neurology | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2005-07-12 |
| 1518512367 | Melanie Dupree Norman | Developmental Therapist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-08-08 |
| 1699335190 | Chelsey Germaine Keyes | Dental Assistant | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-06-17 |
| 1881166809 | Margaret Stallard | Licensed Practical Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-01-02 |
| 1780155960 | Glenda Gill | Dental Assistant | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-16 |
| 1528539038 | Tanya Hodges | Dental Hygienist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-10 |
| 1649741380 | Brenda Stanley | Nurse's Aide | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-06 |
| 1427528355 | April Dawn Cooke | Registered Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-04 |
| 1548730815 | Amanda Gail Farmer | Nurse's Aide | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-11-29 |
| 1396228136 | Misty Danielle Sexton | Licensed Practical Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368815 | Ian Carter Mccormick | Pharmacist | 2710 Maynardville Highway, Maynardville, TN 37807 | 2020-08-25 |
| 1053963975 | Maynardville Drug LLC | Pharmacy | 2975 Maynardville Hwy, Maynardville, TN 37807 | 2019-07-11 |
| 1811014533 | Leah Renee Lewis | Specialist/Technologist | 108 Harmon Drive, Maynardville, TN 37807 | 2007-03-26 |
| 1659497394 | Mohammad Bhidya Md PC | Nurse Practitioner | 2595 Maynardville Hwy, Maynardville, TN 37807 | 2007-03-22 |
| 1053350363 | Thomas J Demaro | Emergency Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2006-06-05 |
| 1134504764 | East Tennessee Physical Therapy,llc | Clinic/Center | 4357 Maynardville Hwy, Maynardville, TN 37807 | 2015-07-24 |
| 1447500731 | Julie M Roberts | Pharmacist | 4344 Maynardville Hwy, Maynardville, TN 37807 | 2012-09-13 |
| 1669623898 | Stallion Medical Group P.C. | Family Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2008-10-07 |
| 1952442618 | Lisa D Smallen-lee | Nutritionist | 4335 Maynardville Hwy, Maynardville, TN 37807 | 2007-02-08 |
| 1033279872 | Darrell James Johnson | Chiropractor | 110 Skyline Drive, Maynardville, TN 37807 | 2006-12-11 |
| Find all providers in zip 37807 | ||||
| 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 |
|---|---|---|---|---|
| 1831551787 | Danielle Marie Barnes | Dentist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2016-03-21 |
| 1487891594 | Cherokee Health Systems | Dentist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2009-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723499 | Courtney Lahatte Blankenship | Dentist | 116 Jack White Dr Ste 12, Kingsport, TN 37664-2379 | 2020-09-03 |
| 1952914715 | Hampton Dental Group | Dentist | 435 Highway 321, Hampton, TN 37658-3323 | 2020-08-30 |
| 1861003873 | Lidia Lilly | Dentist | 3050 Cheever St, Franklin, TN 37064-1792 | 2020-08-12 |
| 1629688338 | Tennessee Valley Dental Partners, P.C. | Dentist | 1501 Nashville Hwy Ste 102, Columbia, TN 38401-2016 | 2020-08-06 |
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1184249278 | Sleep Better Solutions LLC | Dentist | 9 Chatwick Cv, Jackson, TN 38305-5642 | 2020-06-15 |
| 1073134516 | Confident Smiles & Implants | Dentist | 12802 Kingston Pike Ste 101, Farragut, TN 37934-0919 | 2020-05-06 |
| 1801423710 | Michael John Seelig | Dentist | 277 Veterans Pkwy Ste A, Murfreesboro, TN 37128-1077 | 2020-03-23 |
| 1902432172 | Berry Farms Dental | Dentist | 4020 Hughes Xing Ste 140, Franklin, TN 37064-1468 | 2020-03-19 |
| 1851924369 | Renew Dental | Dentist | 1835 Madison St Ste A, Clarksville, TN 37043-6547 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | MAYNARDVILLE |
| Zip Code | 37807 |
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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.