DR. DANIEL QUON (NPI# 1275536252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275536252 |
| Entity Type | Individual |
| Full Name | DR. DANIEL QUON |
| Credential | D.M.D. |
| Practice Address |
5800 Ridgewood Rd Ste 102 Jackson MS 39211-2667 |
| Practice Telephone | 6019571207 |
| Practice Fax Number | 6019570602 |
| Mailing Telephone | 6019571207 |
| Mailing Fax Number | 6019570602 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1849-79 | MS | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 1849-79 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730346925 | Daniel E Quon | Optometrist | 949 South Coast Drive, Suite 155, Costa Mesa, CA 92626 | 2008-05-16 |
| Street Address |
5800 RIDGEWOOD RD STE 102 |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-2667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710391545 | Terrance Ware Dds, Pllc | Dentist | 5800 Ridgewood Rd, Suite 104, Jackson, MS 39211-2667 | 2014-06-19 |
| 1811150766 | Deidra Janiece Snell | Dentist | 5800 Ridgewood Rd, Suite 105, Jackson, MS 39211-2667 | 2008-07-09 |
| 1629257357 | Mark H Kennedy | Dentist | 5800 Ridgewood Rd, Suite 104, Jackson, MS 39211-2667 | 2007-10-30 |
| 1780755165 | Eugene C. Brown Jr. | Dentist | 5800 Ridgewood Rd, Suite 103, Jackson, MS 39211-2667 | 2006-11-10 |
| 1811009145 | John Philip Buchanan | Dentist | 5800 Ridgewood Rd, Suite 101, Jackson, MS 39211-2667 | 2006-08-31 |
| 1336251669 | John P. Buchanan, Dmd, Pa | Clinic/Center | 5800 Ridgewood Rd, Suite 101, Jackson, MS 39211-2667 | 2006-08-31 |
| 1568577039 | Daniel Bobby Story II | Dentist | 5800 Ridgewood Rd, Suite 101, Jackson, MS 39211-2667 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639792450 | Dr Riley PC | Dentist | 1325 S Hwy 89 Apt 105, Jackson, WY 83001-8293 | 2020-05-27 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1083852149 | Michael Stern | Dentist | 1160 Alpine Ln, Suite 1d, Jackson, WY 83001 | 2009-01-28 |
| 1144481961 | Nathan James Ostler | Dentist | 688 Brewers Bridge Rd, Jackson, NJ 08527-2017 | 2008-06-24 |
| 1437370988 | Kyle Tanner Hunt | Dentist | 971 Lakeland Dr Ste 952, Jackson, MS 39216-4609 | 2007-05-01 |
| 1215009980 | Rodney Arnell Hunt | Dentist | 971 Lakeland Dr Ste 600, Jackson, MS 39216-4608 | 2006-11-15 |
| 1225123078 | Cynthia A Rider | Dentist | 2545 Spring Arbor Rd., Suite 202, Jackson, MI 49203 | 2006-10-04 |
| 1609960749 | Maxillofacial Surgery Center of Central Mississippi | Dentist | 266 Katherine Dr, Jackson, MS 39232-8801 | 2006-10-03 |
| 1134224116 | Jerry B Booth | Dentist | 683 Robinson Rd, Jackson, MI 49203-1155 | 2006-09-14 |
| 1164430971 | Teton Oral & Maxillofacial Surgery | Dentist | 1160 Alpine Lane, #1d, Jackson, WY 83002 | 2006-08-04 |
| Find all providers in JACKSON | ||||
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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.