MARK E. PICKETT (NPI# 1275622755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275622755 |
| Entity Type | Individual |
| Full Name | MARK E. PICKETT |
| Credential | DDS |
| Practice Address |
135 Cash Rd Nw Camden AR 71701-3833 |
| Practice Telephone | 8708365003 |
| Practice Fax Number | 8708363163 |
| Mailing Telephone | 8708365003 |
| Mailing Fax Number | 8708363163 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
2558 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | UNITED CONCORDIA | 884614 | 01 |
| AR | BCBS | 58716 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578554531 | Mark Terry Pickett | Anesthesiology | Naval Hospital Bremerton, Boone Rd., Bremerton, WA 98312-1898 | 2005-10-31 |
| Street Address |
135 CASH RD NW |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891271847 | Cathy Dawson | Dental Hygienist | 135 Cash Rd Nw, Camden, AR 71701-3833 | 2018-07-12 |
| 1477039428 | Leah Pope | Dental Hygienist | 135 Cash Rd Nw, Camden, AR 71701-3833 | 2018-07-12 |
| 1720573421 | Timbland Dental | Clinic/Center | 135 Cash Rd Nw, Camden, AR 71701-3833 | 2018-06-25 |
| 1114419744 | Hayden Smith | Dentist | 135 Cash Rd Nw, Camden, AR 71701-3833 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467875161 | Nancy E. Malcolm Ltd | Dentist | 910 Enterprise Dr, Jonesboro, AR 72401-9239 | 2014-01-31 |
| 1982883039 | Kevin S. Pierce, D.d.s. P.a. | Dentist | 1724 Executive Sq, Jonesboro, AR 72401-6092 | 2007-10-25 |
| 1124151345 | Andrea M. Smith | Dentist | 1400 Dale Bumpers Dr, Forrest City, AR 72335-2695 | 2007-03-14 |
| 1902989460 | Samuel Todd Swann | Dentist | 15 Wilson Farm Rd, Greenbrier, AR 72058-0248 | 2006-10-20 |
| 1588778641 | Mark A, Davis | Dentist | 15775 Highway 16 E, Shirley, AR 72153-8930 | 2006-08-18 |
| 1801317375 | Nick Grote Family Dental Pa | Dentist | 611 Jefferson St, Van Buren, AR 72956-5159 | 2017-07-05 |
| 1255422622 | John William Antonetz | Dentist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-09-28 |
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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.