DR. MITISHA NICHOLE MARTIN


Address: 5316 S. 3rd Street, Louisville, KY 40214
Phone: 5022768778

DR. MITISHA NICHOLE MARTIN (NPI# 1255592267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255592267
Entity Type Individual
Full Name DR. MITISHA NICHOLE MARTIN
Other Name DR. MITISHA NICHOLE HUDSON
Credential DMD
Practice Address 5316 S. 3rd Street
Louisville
KY 40214
Practice Telephone 5022768778
Mailing Telephone 5022768778
Enumeration Date 2008-06-23
Last Update Date 2020-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 8651 KY Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
130 Evergreen Rd, Louisville, KY 402431489 5024101710

Office Location

Street Address 5316 S. 3RD STREET
City LOUISVILLE
State KY
Zip Code 40214

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477058659 Abcdentistry Clinic/Center 5316 S 3rd St, Louisville, KY 40214 2018-03-28
1538591300 Byrne Dental,psc Dentist 4739 So. Third Street, Louisville, KY 40214 2013-08-05
1205110400 Michael Wayne Probst Pharmacist 5201 South Third Street, Louisville, KY 40214 2011-10-06
1871876920 Cindy Eillene Ohlmann Pharmacist 5400 New Cut Road, Louisville, KY 40214 2011-09-26
1801129960 Deborah Suzanne Slusher Speech-Language Pathologist 109 Seneca Trail, Louisville, KY 40214 2009-09-08
1588862361 Kentucky Eye Surgery Associates Psc Ophthalmology 4940 Hazelwood Avenue, Louisville, KY 40214 2007-07-03
1558565739 James Latroy Burks Counselor 927 Southview Rd, Louisville, KY 40214 2007-06-12
1770792475 Kimberly Lynn Wheatley Physical Therapist 250 Kenwood Hill Road, Louisville, KY 40214 2007-05-21
1821219601 Courtney Marie Smith Speech-Language Pathologist 3222 Rolling Oak Blvd, Louisville, KS 40214 2007-05-01
1659489706 Matthew Jon Quinones Chiropractor 5538 New Cut Rd, Louisville, KY 40214 2006-08-28
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548869878 Miram Shaheen Dentist 600 Marshall St Unit 128, Louisville, KY 40202-3618 2020-10-19
1396351243 Haaken Reed Magnuson Dentist 4600 Taylorsville Rd, Louisville, KY 40220-3530 2020-09-16
1629687181 Joanna Higdon Dentist 4122 Shelbyville Rd Ste 103, Louisville, KY 40207-3206 2020-07-30
1386253847 Hannah Pope Dentist 6801 Dixie Hwy Ste 128, Louisville, KY 40258-3940 2020-07-29
1801404256 William Jacob Brown Dentist 335 W South Boulder Rd Ste 4, Louisville, CO 80027-1192 2020-07-21
1144838764 My Smile Dental Services, Pllc Dentist 5014b Preston Hwy, Louisville, KY 40213-2217 2020-07-20
1164068722 Kentucky On-site Dental Services LLC Dentist 307 Longview Park Pl, Louisville, KY 40245-6217 2019-11-19
1700448875 Elizabeth Anne Riordan Dentist 701 Sunnyside Dr, Louisville, KY 40206-2922 2019-06-28
1669031381 Adam Jatin Parikh Dentist 2400 Mellwood Ave Apt 927, Louisville, KY 40206-1066 2019-06-06
1689232175 Paige Higdon Cogan Dentist 1009 Alta Vista Rd, Louisville, KY 40205-1727 2019-05-30
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Competitor

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City LOUISVILLE
Zip Code 40214

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Dataset Information

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.

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