TARA L GREEN


Address: 4330 Maynardville Hwy, Maynardville, TN 37807-3618
Phone: 8659923849

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DS10914 TN Dental Providers
N 122300000X Dentist 2014027290 MO Dental Providers

Other Providers TARA GREEN

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

Office Location

Street Address 4330 MAYNARDVILLE HWY
City MAYNARDVILLE
State TN
Zip Code 37807-3618

Providers in the same location

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
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Providers in the same zip code

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
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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
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

Providers in the same taxonomy and state

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
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Competitor

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City MAYNARDVILLE
Zip Code 37807

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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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