SEQUATCHIE VALLEY DENTAL ASSOCIATES, PC (NPI# 1205062379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205062379 |
| Entity Type | Organization |
| Organization Name | SEQUATCHIE VALLEY DENTAL ASSOCIATES, PC |
| Practice Address |
507 Betsy Pack Dr Suite B Jasper TN 37347-3321 |
| Mailing Address |
507 Betsy Pack Drive Jasper TN 37347 |
| Practice Telephone | 4239425508 |
| Practice Fax Number | 4239423132 |
| Mailing Telephone | 4239425508 |
| Mailing Fax Number | 4239423132 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2011-10-31 |
| Authorized Official Name | DR. KARIM D HASNANI (DENTIST) |
| Authorized Official Telephone | 4239425508 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8210 | TN | Dental Providers |
| Street Address |
507 BETSY PACK DR SUITE B |
| City | JASPER |
| State | TN |
| Zip Code | 37347-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841720661 | Christopher Dean Bryant | Dentist | 507 Betsy Pack Dr, Jasper, TN 37347-3321 | 2017-06-14 |
| 1124317037 | Nicole Myers Brock | Dentist | 507 Betsy Pack Dr, Jasper, TN 37347-3321 | 2011-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
| 1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
| 1487801924 | Valley Imaging Partners, P.C. | Radiology | 1000 Hwy 28, Jasper, TN 37347 | 2008-08-27 |
| 1053494708 | Elizabeth Rodgers | Nurse Practitioner | 215 Hickman Road, Jasper, TN 37347 | 2006-10-23 |
| 1386726875 | Wal-mart Stores East, Lp | Technician/Technologist | 525 Kimball Crossing, Kimball, TN 37347 | 2006-10-20 |
| 1427033307 | Karim D Hasnani | Dentist | 507 Betsy Pack Dr Suite B, Jasper, TN 37347 | 2005-12-13 |
| 1932184017 | Craig John Cott | Psychiatry & Neurology | 215 Hickman Rd, Jasper, TN 37347 | 2005-12-12 |
| 1104817774 | Karin B Boeck | Family Medicine | 24 Mountain View Drive, Suite A, Kimball, TN 37347 | 2005-11-02 |
| 1508344227 | Faith Hannah Williams | Registered Nurse | 1000 Tn-28, Jasper, TN 37347 | 2018-08-03 |
| 1861752578 | Jana Marlow | Social Worker | 215 Hickman Rd, Jasper, TN 37347 | 2012-05-29 |
| Find all providers in zip 37347 | ||||
| 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 |
|---|---|---|---|---|
| 1497365498 | Krina Patel | Dentist | 101 6th Ave Nw, Jasper, AL 35504-7486 | 2020-08-04 |
| 1396275681 | Evan Frisbee | Dentist | 938 W Church St, Jasper, GA 30143-1496 | 2017-06-19 |
| 1104209790 | Wagner Family Dental | Dentist | 4115 Mannheim Rd, Jasper, IN 47546-2964 | 2015-07-01 |
| 1699104000 | Jasper Family Dental | Dentist | 329 E Gibson St, Jasper, TX 75951-5028 | 2013-11-06 |
| 1811121445 | Van Tuyl Dental Group | Dentist | 929 Cove Rd, Suite F, Jasper, GA 30143-4444 | 2009-05-11 |
| 1265683999 | Philip Schwenk | Dentist | 1444 Executive Blvd, Jasper, IN 47546-9300 | 2008-09-30 |
| 1558543827 | James M. Hamilton Jr. | Dentist | 442 W Houston St, Jasper, TX 75951-3511 | 2007-11-28 |
| 1063613743 | Lesley Suzanne Kizior | Dentist | 825 W 13th St, Jasper, IN 47546-1820 | 2007-05-30 |
| 1124247168 | Coolridge Coleman | Dentist | 1558 N Fletcher St, Jasper, TX 75951-2603 | 2007-04-25 |
| 1144308693 | Stanton Clay Eggers | Dentist | 1206 Highway 78 East, Jasper, AL 35501 | 2006-11-01 |
| Find all providers in JASPER | ||||
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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.