DR. MARK ANDREW LUTTRELL (NPI# 1316038268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316038268 |
| Entity Type | Individual |
| Full Name | DR. MARK ANDREW LUTTRELL |
| Credential | D.D.S. |
| Practice Address |
58 S Pleasant St Randolph VT 05060-1365 |
| Mailing Address |
Po Box 425 Randolph VT 05060-0425 |
| Practice Telephone | 8027283344 |
| Mailing Telephone | 8027283344 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 989 | VT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1002134 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699936260 | Mark D Luttrell | Physical Therapist | 535 Gateway Dr, Lawrence, KS 66049-2342 | 2008-06-17 |
| 1447474986 | Mark Luttrell | Psychiatry & Neurology | 865 Poplar Ave, Memphis, TN 38105-4608 | 2007-04-13 |
| Street Address |
58 S PLEASANT ST |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| Find all providers in zip 05060 | ||||
| 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 |
|---|---|---|---|---|
| 1841814720 | Zachary Goldstein | Dentist | 1243 Sussex Turnpike, Randolph, NJ 07869-2998 | 2020-06-05 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1972067072 | Randolph Dental Group LLC | Dentist | 1 Frank Leary Way Unit 4, Randolph, MA 02368-4503 | 2019-01-23 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1245779479 | Mary Elizabeth Roberts | Dentist | 8 Laurel Hill Dr, Randolph, NJ 07869-4627 | 2017-02-21 |
| 1265828297 | Grigoriy Efros | Dentist | 20 Fairfield Ave, Randolph, NJ 07869-1420 | 2015-04-07 |
| 1184018061 | Yashashwini Bangalore Marappa | Dentist | 390 Nj-10, Randolph, NJ 07869 | 2015-03-27 |
| 1477677334 | Richard Toyoo Yoshikawa | Dentist | 9 School St, Randolph, VT 05060-1177 | 2007-03-18 |
| 1801955950 | Ross D Werner | Dentist | 125 N High St, Randolph, WI 53956-1267 | 2006-12-06 |
| 1174607493 | Bruce M Seidner | Dentist | 924 Route 10, Randolph, NJ 07869 | 2006-10-24 |
| Find all providers in RANDOLPH | ||||
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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.