CHICKASAW DENTAL GROUP L. L. C. (NPI# 1134212038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134212038 |
| Entity Type | Organization |
| Organization Name | CHICKASAW DENTAL GROUP L. L. C. |
| Practice Address |
327 N Jackson St Houston MS 38851 |
| Mailing Address |
Po Box 604 Houston MS 38851 |
| Practice Telephone | 6624569992 |
| Practice Fax Number | 6624569093 |
| Mailing Telephone | 6624569992 |
| Mailing Fax Number | 6624569093 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-12-06 |
| Authorized Official Name | DR. TEENA FREEMAN HORN (DENTIST OWNER) |
| Authorized Official Telephone | 6624569992 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09016032 | 05 |
| Street Address |
327 N JACKSON ST |
| City | HOUSTON |
| State | MS |
| Zip Code | 38851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730281809 | Teena Freeman Horn | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-09-01 |
| 1568563856 | Herman Kavanaugh Smith | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742073 | Natalie Mitchell | Social Worker | 102 Okolona Cutoff Rd, Houston, MS 38851 | 2017-07-12 |
| 1073041042 | Jan Sherlene Paden | Nurse Practitioner | 8 East Madison St, Houston, MS 38851 | 2017-06-02 |
| 1851772818 | Shell Denece Williams-moore | Religious Nonmedical Practitioner | 901 North Jackson Street, Houston, MS 38851 | 2015-06-16 |
| 1740385491 | Southern Health Corp of Houston Inc | Skilled Nursing Facility | 1000 East Madison, Houston, MS 38851 | 2006-09-14 |
| 1891776530 | Kunthavai S. Patel | Specialist | 208 Country Club Road, Houston, MS 38851 | 2005-11-09 |
| 1255467726 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | Hwy 8 East, Houston, MS 38851 | 2007-02-26 |
| 1689753485 | Southern Health Corp of Houston Inc | Psychiatric Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
| 1306925102 | Southern Health Corp of Houston Inc | Medicare Defined Swing Bed Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
| 1366465502 | Southern Health Corp of Houston,inc. | General Acute Care Hospital | Hwy 8 East, Houston, MS 38851 | 2006-07-26 |
| 1811933948 | Floyd Lee Horn | Emergency Medicine | Hwy 8 East, Houston, MS 38851 | 2006-06-20 |
| Find all providers in zip 38851 | ||||
| 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 |
|---|---|---|---|---|
| 1114525581 | Ashley Roy | Dentist | 9099 Katy Fwy Ste 180, Houston, TX 77024-1677 | 2020-10-16 |
| 1710592522 | Georgi Talmazov | Dentist | 8299 Cambridge St Apt 102, Houston, TX 77054-3138 | 2020-09-09 |
| 1982218673 | Marissa Fernandez | Dentist | 3527 Ozark St, Houston, TX 77021-1209 | 2020-09-01 |
| 1568075943 | Omar Fawzi Ismael | Dentist | 909 Dairy Ashford Rd Ste 109, Houston, TX 77079-5306 | 2020-08-26 |
| 1972115830 | Diana Dental Pllc | Dentist | 8619 Richmond Ave Ste 700, Houston, TX 77063-5688 | 2020-08-20 |
| 1861002388 | Safa Nawazish | Dentist | 9000 Almeda Rd Apt 9107, Houston, TX 77054-4341 | 2020-08-10 |
| 1568088524 | Smile Squad of Houston Shepherd Pllc | Dentist | 3800 N Shepherd Dr Ste 3-a, Houston, TX 77018-6400 | 2020-06-24 |
| 1063037646 | Veterans Dental Center | Dentist | 10403 Lark Rdg, Houston, TX 77070-4875 | 2020-06-10 |
| 1841814738 | Texas Dental Associates, Pa | Dentist | 5230 Buffalo Speedway, Houston, TX 77005-4204 | 2020-06-05 |
| 1750910659 | Ph Dentistry, PC | Dentist | 17619 Fm 529 Rd, Houston, TX 77095-1003 | 2020-04-03 |
| Find all providers in HOUSTON | ||||
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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.