JESSIE C DEFFENDALL (NPI# 1174044390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174044390 |
| Entity Type | Individual |
| Full Name | JESSIE C DEFFENDALL |
| Credential | D.M.D |
| Practice Address |
220 Cassidy Blvd Pikeville KY 41501 |
| Mailing Address |
220 Cassidy Blvd Pikeville KY 41501-1426 |
| Practice Telephone | 6066532859 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 12012801A | IN | Dental Providers |
| Y | 122300000X | Dentist | 9992 | KY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4919 Outer Loop, Louisville, KY 402194051 | 5027915594 | |
| 1116 Veterans Pkwy, Clarksville, IN 471292370 | 8665713409 | |
| 6810 Dixie Hwy, Louisville, KY 402583914 | 5028730171 |
| Street Address |
220 CASSIDY BLVD |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962060095 | Kevin Mischel | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501-1426 | 2019-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| 1427330760 | Central Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 171 Hibbard Street, Suite 3, Pikeville, KY 41501 | 2011-09-13 |
| Find all providers in zip 41501 | ||||
| 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 |
|---|---|---|---|---|
| 1215335542 | Aaron Stanley | Dentist | 419 Town Mountain Rd Ste 201, Pikeville, KY 41501-1633 | 2014-12-19 |
| 1205176401 | Cody Christensen | Dentist | 214 Willowbrook Dr, Pikeville, NC 27863-9636 | 2013-02-25 |
| 1235475112 | Big Sandy Dental Center Psc | Dentist | 180 Town Mountain Rd Ste 111, Pikeville, KY 41501-1607 | 2012-12-20 |
| 1477846780 | Joshua Ray Raleigh | Dentist | 308 Hambley Blvd, Pikeville, KY 41501-1275 | 2011-05-18 |
| 1730497934 | Frederick Junghoon Lee | Dentist | 3086 Main St., Pikeville, TN 37367 | 2010-09-22 |
| 1811108715 | George Scott Smith | Dentist | 161 Hibbard St, Suite 201, Pikeville, KY 41501-1708 | 2007-05-24 |
| 1750413340 | Marc Williams | Dentist | 126 Williams Dr, Pikeville, KY 41501-1373 | 2007-03-10 |
| 1245386812 | William R Anderson | Dentist | 1152 S Mayo Trail, Pikeville, KY 41501 | 2007-01-26 |
| 1467515098 | Chonda Harris Whitfield | Dentist | 1144 South Mayo Trail Suite 101, Pikeville, KY 41501 | 2006-12-18 |
| 1114085982 | The Dentist Office Psc | Dentist | 1144 S Mayo Trail, Suite 101, Pikeville, KY 41501 | 2006-12-05 |
| Find all providers in PIKEVILLE | ||||
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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.