DR. ALLAN DALE PADBURY JR. (NPI# 1194930503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194930503 |
Entity Type | Individual |
Full Name | DR. ALLAN DALE PADBURY JR. |
Credential | D.D.S. |
Practice Address |
306 W Washington Ave 202 Jackson MI 49201-2169 |
Practice Telephone | 5177842700 |
Mailing Telephone | 5177842700 |
Enumeration Date | 2007-05-11 |
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 |
2901017860 | MI | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023223336 | Allan Dale Padbury | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2007-05-11 |
Street Address |
306 W WASHINGTON AVE 202 |
City | JACKSON |
State | MI |
Zip Code | 49201-2169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588654206 | Jeffrey D Hurst | Dentist | 306 W Washington Ave, Suite 201, Jackson, MI 49201-2169 | 2005-10-25 |
1194967844 | Glenn Richard Watterson | Dentist | 306 W Washington Ave, Suite 204, Jackson, MI 49201-2169 | 2009-03-26 |
1316110984 | Padbury and Padbury, D.d.s, M.s., P.C. | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2008-04-03 |
1023223336 | Allan Dale Padbury | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2007-05-11 |
1730300377 | James P. Serino, O.d. P.C. | Optometrist | 306 W Washington Ave, Suite 104, Jackson, MI 49201-2169 | 2007-05-01 |
1124162185 | William Allan Patchak | Dentist | 306 W Washington Ave, Suite 105, Jackson, MI 49201-2169 | 2007-02-16 |
1447398615 | Stuart F Holmes | Dentist | 306 W Washington Ave, Ste 203, Jackson, MI 49201-2169 | 2007-02-01 |
1942384292 | Wiilliam A. Patchak D.d.s. P.C. | Dentist | 306 W Washington Ave, Suite 105, Jackson, MI 49201-2169 | 2006-10-24 |
1376632737 | Frederic B. Slete | Dentist | 306 W Washington Ave, Suite 205, Jackson, MI 49201-2169 | 2006-10-12 |
1740379015 | Frederic B Slete D.d.s.,pc | Dentist | 306 W Washington Ave, Suite 205, Jackson, MI 49201-2169 | 2006-10-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
Find all providers in zip 49201 |
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 |
---|---|---|---|---|
1790069854 | Periodontal Associates of Jackson, P.a. | Dentist | 406 Briarwood Dr., Ste. 101, Jackson, MS 39206 | 2011-10-06 |
1417166703 | R. Clarke Stewart | Dentist | 406 Briarwood Dr Ste 101, Jackson, MS 39206-3059 | 2007-05-22 |
1235262296 | Salah Al Huwais | Dentist | 721 17th St, Jackson, MI 49203-1409 | 2007-03-13 |
1760537344 | William Edward Frey | Dentist | 100 French Bar Rd Ste 103, Jackson, CA 95642-2557 | 2007-01-24 |
1952484701 | Robert W.rives, D.d.s., P.a. | Dentist | 1445 Lelia Dr, Jackson, MS 39216-4721 | 2006-10-23 |
1497769376 | William Lance Culley | Dentist | 166a Murray Guard Dr, Jackson, TN 38305-3609 | 2006-07-28 |
1972859304 | Jamie Reed Clay | Dentist | 2500 N State St, School of Health Related Professions- Dental Hygiene, Jackson, MS 39216-4500 | 2012-08-03 |
1992958755 | Ask, Kinzer, Simpson, and Roda A Professional Dental Corp | Dentist | 100 French Bar Rd, Suite 103, Jackson, CA 95642-2557 | 2008-10-24 |
1316110984 | Padbury and Padbury, D.d.s, M.s., P.C. | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2008-04-03 |
1598974867 | Roger B. Parkes | Dentist | 406 Briarwood Dr Ste 101, Jackson, MS 39206-3059 | 2007-05-22 |
Find all providers in JACKSON |
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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.