DR. MARK RANDALL PATTERS (NPI# 1144433210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144433210 |
| Entity Type | Individual |
| Full Name | DR. MARK RANDALL PATTERS |
| Credential | DDS |
| Practice Address |
875 Union Ave Univ. of Tennessee, College of Dentistry Memphis TN 38163-0001 |
| Practice Telephone | 9014487686 |
| Practice Fax Number | 9014481625 |
| Mailing Telephone | 9014487686 |
| Mailing Fax Number | 9014481625 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS0000005108 | TN | Dental Providers |
| Street Address |
875 UNION AVE UNIV. OF TENNESSEE, COLLEGE OF DENTISTRY |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38163-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366430647 | Lawrence W Weeda Jr. | Dentist | 875 Union Ave, Room N-328, Memphis, TN 38163-0001 | 2005-10-11 |
| 1750907200 | Meghan Gahm | Student in an Organized Health Care Education/Training Program | 875 Union Ave, Memphis, TN 38103-3513 | 2020-06-21 |
| 1134768617 | Deborah Kay Rose | Dental Hygienist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-12-31 |
| 1982249769 | Leila Marie Sears | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-11-15 |
| 1124680632 | Anna Claire Eaton | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-07-03 |
| 1164080867 | Bryce James Lamer | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-05-29 |
| 1699240879 | Brian Ashford Brodine | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2018-10-03 |
| 1609351832 | Jared Moffett | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2018-10-03 |
| 1437648045 | Jill Emily Gibson | Student in an Organized Health Care Education/Training Program | 875 Union Ave, Memphis, TN 38103-3513 | 2018-05-09 |
| 1093244972 | David Rua Perez | Student in an Organized Health Care Education/Training Program | 875 Union Ave, Memphis, TN 38103-3513 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
| 1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
| 1700362613 | Ibrahim Ortanca | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 | 2018-07-13 |
| 1619469103 | Julia Christine Cook | Student in an Organized Health Care Education/Training Program | University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 | 2018-05-31 |
| 1104359058 | Malik Fakhar | Student in an Organized Health Care Education/Training Program | 960 Madison Ave, 447, Memphis, TN 38163 | 2017-04-07 |
| 1215319322 | Yousef Abdel-aziz | Student in an Organized Health Care Education/Training Program | 956 Court Avenue Suite G310b, Memphis, TN 38163 | 2015-06-25 |
| 1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
| 1952789430 | Mark Iltis | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 | 2015-05-15 |
| 1700129780 | Mohammad Elballat | Student in an Organized Health Care Education/Training Program | 956 Court Ave Suite H314a, Memphis, TN 38163 | 2013-03-28 |
| 1932468204 | Evan Neal Paul | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue, Suite 1031, Memphis, TN 38163 | 2012-05-08 |
| Find all providers in zip 38163 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023158185 | Periodontal Associates of Memphis | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-02-07 |
| 1932211349 | Hiram Raymond Fry | Dentist | 1721 Kirby Pkwy, Memphis, TN 38120-4367 | 2006-08-31 |
| 1760489496 | John Stephen Weir | Dentist | 5348 Estate Office Dr, Suite #1, Memphis, TN 38119-3635 | 2005-07-07 |
| 1619327244 | Grant Thomas King | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2016-06-14 |
| 1225262884 | Anastasios Karydis | Dentist | 875 Union Ave, C511, Memphis, TN 38103-3513 | 2009-05-12 |
| 1235308537 | Joan C. Schmitt | Dentist | 5366 Estate Office Dr, Memphis, TN 38119-0611 | 2008-02-21 |
| 1952511578 | J. Stephen Weir, D.d.s., L.L.C. | Dentist | 5348 Estate Office Dr, Suite #1, Memphis, TN 38119-3635 | 2007-05-23 |
| 1356470835 | Lesley H Binkley Jr. | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
| 1639208127 | Preston D Miller Jr. | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
| 1114056694 | Roger D Craddock | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on DR. MARK RANDALL PATTERS.
| 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.