DR. ABIGAIL LUPENA (NPI# 1326421512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326421512 |
| Entity Type | Individual |
| Full Name | DR. ABIGAIL LUPENA |
| Credential | D.M.D. |
| Practice Address |
209 Riverwind E Pearl MS 39208-5653 |
| Mailing Address |
322 Stillwater Dr Dayton NV 89403-9029 |
| Practice Telephone | 6013636161 |
| Mailing Telephone | 7752305469 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3848-16 | MS | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
209 RIVERWIND E |
| City | PEARL |
| State | MS |
| Zip Code | 39208-5653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497995054 | Michael Powell | Physical Therapist | 209 Riverwind E, Suite B, Pearl, MS 39208 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299875 | Catherine Leigh Wilson | Nurse Practitioner | 3794 Ms-468, Pearl, MS 39208 | 2020-09-15 |
| 1548896301 | Rochelle Vanity Cork | Nurse Practitioner | 4635 Us-80, Pearl, MS 39208 | 2020-03-12 |
| 1528600343 | Kelsey D Nowell | Physical Therapy Assistant | 3823 Highway 80 East Suite 1100, Pearl, MS 39208 | 2019-10-14 |
| 1740742329 | Jacksonbracey Health Care | Nurse Practitioner | 4490 Us-80, Pearl, MS 39208 | 2019-04-03 |
| 1740637586 | Telehealthone, LLC | Nurse Practitioner | 5760 Hwy 80 East, Pearl, MS 39208 | 2016-05-23 |
| 1003273897 | Xcel Rehab, Inc. | Clinic/Center | 209 Riverwind East, Suite B, Pearl, MS 39208 | 2016-01-25 |
| 1487035044 | Christopher Rogers | Physical Therapy Assistant | 209 B Riverwind East, Pearl, MS 39208 | 2015-06-09 |
| 1417366725 | Pearl River Dental, Pllc | Dentist | 209 Riverwind East Dr, Pearl, MS 39208 | 2014-08-12 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1437589801 | Leo Easley II | Nurse Practitioner | 3794 Hwy 468, Pearl, MS 39208 | 2013-11-20 |
| Find all providers in zip 39208 | ||||
| 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 |
|---|---|---|---|---|
| 1417366725 | Pearl River Dental, Pllc | Dentist | 209 Riverwind East Dr, Pearl, MS 39208 | 2014-08-12 |
| 1871916932 | Hayes Family Dentistry | Dentist | 3823 Hwy 80 East, Suite 400, Pearl, MS 39208-4232 | 2014-01-27 |
| 1043529639 | Christopher Hamilton Mathews | Dentist | 3794 Highway 468, Cmcf Dental Clinic, Pearl, MS 39288 | 2010-09-29 |
| 1073766002 | G. Wade Hankins Family Dentistry | Dentist | 5647 Highway 80 E Ste 4, Pearl, MS 39208-8907 | 2008-11-04 |
| 1225178197 | Sherry Rutledge Gwin | Dentist | 181 Doctors Dr, Pearl, MS 39208 | 2007-02-08 |
| 1255415220 | R Mark Owens Dmd Pa | Dentist | 642 S Pearson Road, Pearl, MS 39208 | 2006-10-25 |
| 1326202490 | Lee Tucker Herrin | Dentist | 5647 Highway 80 E, Suite 4, Pearl, MS 39208-8907 | 2008-07-17 |
| 1891720454 | Sonja T Stiff | Dentist | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-07-12 |
| 1639108897 | Edgar D. Barham Jr. | Dentist | 3550 Highway 468 W, Pearl, MS 39208-5529 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918278 | Lincoln Dental Arts, Pllc | Dentist | 4301 Lincoln Rd # 20, Hattiesburg, MS 39402-3036 | 2020-09-30 |
| 1528671971 | Arthur Cooper | Dentist | 3999 N Gloster St Ste D, Tupelo, MS 38804-0950 | 2020-08-26 |
| 1124630462 | Elite Practice Management | Dentist | 7185 Crape Myrtle Dr, Olive Branch, MS 38654-1971 | 2020-08-18 |
| 1568071975 | Patrick Burns | Dentist | Tallahatchie County Correctional, 415 Us 49, Tutwiler, MS 38963 | 2020-07-31 |
| 1619595295 | Charles Austin Huffman | Dentist | 1189 E County Line Rd, Jackson, MS 39211-1836 | 2020-07-09 |
| 1841815362 | Payalben Baldev Patel | Dentist | 117 Fontanelle Blvd, Madison, MS 39110-6846 | 2020-06-10 |
| 1760003644 | Phillip John Sheridan | Dentist | Keesler Air Force Base, 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-01 |
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1972146728 | David M. Perez, Dmd, P.C. | Dentist | 4600 Hardy St Ste 31a, Hattiesburg, MS 39402-1349 | 2019-10-24 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
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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.