DR. JENNIFER NICOLE LAURENCE (NPI# 1265988059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265988059 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER NICOLE LAURENCE |
| Credential | D.D.S. |
| Practice Address |
703 Seibert Rd Ste 5 Scott Afb IL 62225 |
| Mailing Address |
703 Seibert Rd Ste 5 Scott Afb IL 62225-1517 |
| Practice Telephone | 6187441969 |
| Mailing Telephone | 6187441969 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.031836 | IL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
019.031836 | IL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1015 S Broadway Ste 24, Minot, ND 587014667 | 7018524789 | |
| 703 Seibert Rd Ste 5, Scott Afb, IL 62225 | 6187441969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679072003 | Jennifer Kate Laurence | Nurse Anesthetist, Certified Registered | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2018-02-12 |
| 1518388131 | Jennifer Laurence | Dietitian, Registered | 108 Park Pl, Camp Hill, PA 17011-7222 | 2013-12-27 |
| Street Address |
703 SEIBERT RD STE 5 |
| City | SCOTT AFB |
| State | IL |
| Zip Code | 62225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011645 | Cheryl D Jones | Registered Nurse | 375th Mdg, 310 W. Losey Street, Scott Afb, IL 62225 | 2020-04-13 |
| 1649836123 | Benjamin Truong | Student in an Organized Health Care Education/Training Program | Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 | 2019-05-10 |
| 1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
| 1841853710 | Lance Scott Mcgavin | Student in an Organized Health Care Education/Training Program | 307 West Losey Street., Building #1535, Scott Afb, IL 62225 | 2019-04-17 |
| 1629503180 | Joshua Bryce Kessack | General Practice | 375 Amds, 310 Losey St, Scott Afb, IL 62225 | 2017-04-21 |
| 1578940755 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 207 W. Winters St., Bldg 1981, Scott Afb, IL 62225 | 2015-04-27 |
| 1891193652 | Diana Meyer | Social Worker | Scott Afb, Apo, AA 62225 | 2014-12-10 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1487998746 | Melissa Dawn Goff | Military Health Care Provider | 310 West. Losey Street, Scott Afb, IL 62225 | 2012-11-26 |
| 1477784312 | Derek Cowen | Military Health Care Provider | 505 Rimkus Drive, Scott Air Force Base, IL 62225 | 2009-07-27 |
| Find all providers in zip 62225 | ||||
| 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 |
|---|---|---|---|---|
| 1528586443 | Ian Robinson | Dentist | 310 W Losey St Bldg 1535, Scott Afb, IL 62225-5250 | 2017-08-30 |
| 1558560623 | Jill Anne Kinsella | Dentist | 703 Seibert Rd., Suite 5, Scott Afb, IL 62225 | 2007-07-17 |
| 1831723592 | Linh Thuy Truong | Dentist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2020-03-02 |
| 1508328576 | Grace Ann Danello | Dentist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2019-04-01 |
| 1851803779 | Brian Martin Hopkins | Dentist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2017-11-01 |
| 1942726427 | Lusai Qiu | Dentist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2017-08-16 |
| 1275933558 | Leah Safirstein Rankin | Dentist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2014-08-25 |
| 1336488246 | Kristi Golabek Mcelroy | Dentist | 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 | 2013-02-13 |
| 1043589526 | Jill Kinsella Dmd LLC | Dentist | 703 Seibert Rd., Suite 5, Scott Afb, IL 62225 | 2011-12-29 |
| 1003048224 | Todd Alan Schultz | Dentist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2009-08-21 |
| Find all providers in SCOTT AFB | ||||
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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.