SUSANNE O. CORE DMD PDC FAMILY DENTISTRY (NPI# 1366725582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366725582 |
| Entity Type | Organization |
| Organization Name | SUSANNE O. CORE DMD PDC FAMILY DENTISTRY |
| Practice Address |
73193 Hwy 25 Covington LA 70435 |
| Practice Telephone | 9856306906 |
| Practice Fax Number | 9857965315 |
| Mailing Telephone | 9856306906 |
| Mailing Fax Number | 9857965315 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | SUSANNE O. CORE (OWNER) |
| Authorized Official Telephone | 9856306906 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 3600 | MS | Dental Providers |
| Y | 122300000X | Dentist | 2392 | MS | Dental Providers |
| Street Address |
73193 HWY 25 |
| City | COVINGTON |
| State | LA |
| Zip Code | 70435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609950518 | Susanne O. Core | Dentist | 73193 Hwy 25, Covington, LA 70435 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154707842 | Ashlee L Poolson | Pharmacist | 73626 La-25, Covington, LA 70435 | 2015-08-04 |
| 1154520773 | Darryl Arlton Driggs | Internal Medicine | 17438 Hard Hat Drive, Covington, LA 70435 | 2007-07-13 |
| 1891813515 | Michaela D King | Emergency Medicine | 17438 Hard Hat Dr., Covington, LA 70435 | 2007-03-27 |
| 1477671816 | Suzanne Christine Cristodero | Speech-Language Pathologist | 22350 Hwy 1084, Covington, LA 70435 | 2007-03-26 |
| 1598881625 | Richard Glen Spell | Dentist | 79132 Hwy 40, Covington, LA 70435 | 2007-03-21 |
| 1730427105 | Dale Ellen Standifer | Social Worker | 20050 Medus St, Covington, LA 70435-0162 | 2013-01-20 |
| 1508212036 | Nicholas Jake Foto Jr. | Student in an Organized Health Care Education/Training Program | 22360 Longleaf Dr, Covington, LA 70435-0225 | 2016-05-13 |
| 1013434018 | Anh Thi Phuong Tran | Pharmacist | 437 Saddlebrook Ct, Covington, LA 70435-0530 | 2017-08-29 |
| 1871962753 | Bridget Young | Counselor | 577 Huseman Ln, Covington, LA 70435-0580 | 2015-09-21 |
| 1831466754 | Cross Bridge Transit | Non-emergency Medical Transport (VAN) | 404 Creekside Ct, Covington, LA 70435-0581 | 2011-11-21 |
| Find all providers in zip 70435 | ||||
| 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 |
|---|---|---|---|---|
| 1124510276 | Washington Dental Corporation, PC | Dentist | 27237 172nd Ave Se Ste 105a, Covington, WA 98042-7352 | 2018-06-05 |
| 1144732223 | Cali Nicole Spell | Dentist | 79132 Highway 40, Covington, LA 70435-9329 | 2017-10-30 |
| 1346693892 | Kyle Blair | Dentist | 17121 Se 270th Pl Ste 202, Covington, WA 98042-5431 | 2016-07-20 |
| 1134570591 | Dr. Bill Gramzinski, D.m.d., P.C. | Dentist | 3204 Mill St Ne, Covington, GA 30014-2538 | 2016-06-28 |
| 1083062228 | Solomon Yakubov | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014-3001 | 2016-05-27 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1346655453 | Timothy Reid Miller | Dentist | 27081 185th Ave Se Ste 105, Covington, WA 98042-8448 | 2014-06-26 |
| 1245676568 | Magnolia Dental LLC | Dentist | 6061 Pinnacle Parkway, Covington, LA 70433 | 2013-05-14 |
| 1861738973 | Covington Family Dentistry LLC | Dentist | 4168 Baker St Ne, Covington, GA 30014-1404 | 2012-12-17 |
| 1982966537 | Charles Zachary Staples | Dentist | 6061 Pinnacle Pkwy, Covington, LA 70433-9193 | 2012-06-11 |
| Find all providers in COVINGTON | ||||
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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.