MP DENTAL, LLC (NPI# 1366940884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366940884 |
| Entity Type | Organization |
| Organization Name | MP DENTAL, LLC |
| Other Organization Name | JEFFERSON DENTAL CARE |
| Practice Address |
1679 Old Pendergrass Rd Jefferson GA 30549-2705 |
| Practice Telephone | 7702970401 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | TIFFANY CROWE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7702970401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1902238926 | 01 |
| Other Name | Type Code |
|---|---|
| Jefferson Dental Care | Doing Business As Name - Organization |
| Street Address |
1679 OLD PENDERGRASS RD |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| 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 |
|---|---|---|---|---|
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1245411578 | Robert G Moulton | Dentist | 504 South Main Street, Jefferson, WI 53549-1736 | 2007-11-15 |
| 1457562555 | Sean P Gaffney | Dentist | 825 S Clearview Pkwy, Jefferson, LA 70121-3119 | 2007-05-24 |
| 1205956570 | Jerry Kimberly Wright | Dentist | 92 North Public Sq, Jefferson, GA 30549-1084 | 2007-03-30 |
| 1285793299 | Harold Charles Franley | Dentist | 18 East Jefferson St, Jefferson, OH 44047-1112 | 2006-12-06 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1053325522 | Thomas Gregory Rooker | Dentist | 116 E Milwaukee St, Jefferson, WI 53549-1636 | 2006-07-28 |
| 1477577286 | William Frederick Zarwell | Dentist | 114 W Milwaukee St, Jefferson, WI 53549-1469 | 2006-07-26 |
| 1306458344 | Sean Sharifali | Dentist | 660 Washington St, Jefferson, GA 30549-1008 | 2020-08-20 |
| 1316473432 | Laura Castillo Kaler | Dentist | 3733 Jefferson Pike, Jefferson, MD 21755 | 2017-05-10 |
| Find all providers in JEFFERSON | ||||
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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.