DEMARIO WALLS (NPI# 1245781236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245781236 |
Entity Type | Individual |
Full Name | DEMARIO WALLS |
Credential | R.D.H |
Practice Address |
1101 John A Denie Rd Memphis TN 38134-7630 |
Mailing Address |
1659 Cresent Ln Southaven MS 38671-7317 |
Practice Telephone | 9013845568 |
Practice Fax Number | 9013845554 |
Mailing Telephone | 9013381916 |
Enumeration Date | 2016-10-14 |
Last Update Date | 2016-10-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 7317 | TN | Dental Providers |
Street Address |
1101 JOHN A DENIE RD |
City | MEMPHIS |
State | TN |
Zip Code | 38134-7630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548380421 | William Meyers | Pharmacist | 1101 John A Denie Rd, Memphis, TN 38134-7630 | 2007-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
Find all providers in zip 38134 |
Taxonomy Code | 124Q00000X |
Grouping | Dental Providers |
Classification | Dental Hygienist |
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669011805 | Kimbra W Humerickhouse | Dental Hygienist | 875 Union Ave # C517, Memphis, TN 38103-3513 | 2020-01-06 |
1982243085 | Felisa Loyd Jackson | Dental Hygienist | 875 Union Ave Rm C402, Memphis, TN 38103-3513 | 2020-01-06 |
1124667530 | Rachel Elizabeth Hamilton | Dental Hygienist | 875 Union Ave Ste C402, Memphis, TN 38103-3513 | 2020-01-02 |
1780223271 | Michelle D. Miles | Dental Hygienist | 875 Union Ave # N502, Memphis, TN 38103-3513 | 2019-12-31 |
1033758792 | Amy E Galyen | Dental Hygienist | 5565 Murray Ave Ste 101, Memphis, TN 38119-3828 | 2019-12-29 |
1861041097 | Kashaundra Atkinson | Dental Hygienist | 4515 Poplar Ave Ste 406, Memphis, TN 38117-7508 | 2019-09-10 |
1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
1376866988 | Dominique Latasha Terry | Dental Hygienist | 2595 Central Avenue, Christ Community Health Services Inc, Memphis, TN 38104 | 2010-03-10 |
1871129361 | Michaela Mitchell | Dental Hygienist | 5366 Winchester Rd, Memphis, TN 38115-4565 | 2020-03-17 |
1700425840 | Danita Jo Adams | Dental Hygienist | 875 Union Ave # C517, Memphis, TN 38103-3513 | 2020-01-06 |
Find all providers in MEMPHIS |
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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.