DR. JESSICA PONGETT (NPI# 1275086456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275086456 |
| Entity Type | Individual |
| Full Name | DR. JESSICA PONGETT |
| Credential | D.M.D., M.S. |
| Practice Address |
2408 S Lamar Blvd Ste 2 Oxford MS 38655-5345 |
| Practice Telephone | 6622344822 |
| Mailing Telephone | 6622344822 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3787-15 | MS | Dental Providers |
| Street Address |
2408 S LAMAR BLVD STE 2 |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306385091 | Patrick Alan Bernardi | Dentist | 227 E Choccolocco St, Oxford, AL 36203-1223 | 2017-02-15 |
| 1972972792 | Andrew Garrett Havron | Dentist | 1713 Hamric Dr E Ste C, Oxford, AL 36203-2015 | 2015-09-22 |
| 1063899128 | Kids Zone Dental Ma | Dentist | 101 Sutton Ave, Oxford, MA 01540-1812 | 2015-04-28 |
| 1154536498 | F Watt Bishop | Dentist | 306 S Lamar Blvd, Oxford, MS 38655-4012 | 2007-05-11 |
| 1811102155 | R Todd Gililland | Dentist | 2408 S Lamar Blvd, Ste 2, Oxford, MS 38655 | 2007-05-11 |
| 1801000609 | Gililland Orthodontics | Dentist | 2408 S Lamar Blvd, Ste 2, Oxford, MS 38655-4012 | 2007-05-10 |
| 1083777593 | Patrick A Bernardi Dmd Ms PC | Dentist | 227 Choccolocco Str, Oxford, AL 36203 | 2006-12-18 |
| 1215007687 | Joseph A. Mccormick Dds PC | Dentist | 2215 Baltimore Pike, Oxford, PA 19363-4013 | 2006-11-09 |
| 1801860747 | Shawn Patrick O'bannon | Dentist | 2408 South Lamar, Suite 2, Oxford, MS 38655 | 2006-02-15 |
| 1942658869 | Tsm1 LLC | Dentist | 318 Oxford Rd, Oxford, CT 06478-1644 | 2016-06-01 |
| Find all providers in OXFORD | ||||
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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.