DAVID WAYNE MIOLEN (NPI# 1306965686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306965686 |
Entity Type | Individual |
Full Name | DAVID WAYNE MIOLEN |
Credential | D.D.S. |
Practice Address |
2648 Apd 40 Cleveland TN 37323 |
Practice Telephone | 4234720709 |
Practice Fax Number | 4234720788 |
Mailing Telephone | 4234720709 |
Mailing Fax Number | 4234720788 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
8253 | TN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UNITED CONCORDIA | 1789566 | 01 | |
BLUE CROSS BLUE SHIELD | 4098134 | 01 |
Street Address |
2648 APD 40 |
City | CLEVELAND |
State | TN |
Zip Code | 37323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477066082 | Quadmed Medical Clinics of Wisconsin, S.c. D/b/a Quadmed Medical Group | Registered Nurse | 2525 Benton Pike Ne, Cleveland, TN 37323 | 2017-11-06 |
1679877518 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 207 Kile Lake Road, Cleveland, TN 37323 | 2011-01-07 |
1376847251 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 209 Kile Lake Road, Cleveland, TN 37323 | 2011-01-06 |
1508084302 | Karen Elizabeth Gannon | Nurse Practitioner | 11111 Doctor's Office Tower, 2200 Children's Way, Nashville, TN 37323 | 2007-04-24 |
1235353566 | Melissa D Townsend | Specialist/Technologist, Other | 120 Fern Drive, Cleveland, TN 37323 | 2007-04-11 |
1780751933 | Linda Fay Wooten | Driver | 2259 Spring Place Rd Se, Cleveland, TN 37323 | 2006-11-30 |
1487134482 | Kristy Alese Henegar | Nurse Practitioner | 1420 Fritz St Se, Cleveland, TN 37323 | 2018-08-19 |
1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
1831339589 | Lyle Foster Johnson | Occupational Therapy Assistant | 2657 Apd 40, Cleveland, TN 37323-0696 | 2009-02-20 |
1255434965 | Tennessee Cvs Pharmacy LLC | Pharmacy | 2651 Apd 40, S Forke Plaza, Cleveland, TN 37323-0696 | 2006-09-07 |
Find all providers in zip 37323 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265049597 | Leila Saeed | Dentist | A2z Dental & Braces, Cleveland, TX 77327-1655 | 2020-09-30 |
1679183701 | Ryba Dentistry LLC | Dentist | 3219 Detroit Ave Ste 102, Cleveland, OH 44113-2759 | 2020-08-04 |
1568015881 | Garett Samarie Patterson | Dentist | 5350 Transportation Blvd Ste 8, Cleveland, OH 44125-5307 | 2019-07-17 |
1902468069 | Stephen Andrew Akin | Dentist | 166 Quillian St, Cleveland, GA 30528-1431 | 2019-06-28 |
1023572096 | Tennessee Dental Professionals, PC | Dentist | 609 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2019-01-24 |
1083185516 | Dental Professional Cleveland - Nouneh, Inc. | Dentist | 3269 Steelyard Dr, Cleveland, OH 44109-2381 | 2018-12-10 |
1730660770 | Dr Marino and Associates Inc | Dentist | 5716 Broadway Ave, Cleveland, OH 44127-1715 | 2018-08-28 |
1164924379 | Savitha Deepthi Yannam | Dentist | 13855 Superior Rd Apt 1309, Cleveland, OH 44118-1045 | 2018-03-03 |
1245745686 | Smiles for A Lifetime, Pa | Dentist | 117 E Houston St, Cleveland, TX 77327-4509 | 2017-12-07 |
1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
Find all providers in CLEVELAND |
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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.