DR. HAZEL MCCAUGHAN (NPI# 1376089904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376089904 |
| Entity Type | Individual |
| Full Name | DR. HAZEL MCCAUGHAN |
| Credential | DMD |
| Practice Address |
1149 Old Fannin Rd #26 Brandon MS 39047-9244 |
| Mailing Address |
305 Oakmont Trl Ridgeland MS 39157-8718 |
| Practice Telephone | 6019927972 |
| Mailing Telephone | 6016059552 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3063-98 | MS | Dental Providers |
| Street Address |
1149 OLD FANNIN RD #26 |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-9244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1922254929 | Back Care Center, Inc. | Chiropractor | 1149 Old Fannin Rd, Suite 22, Brandon, MS 39047-9244 | 2008-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| 1972530632 | Claudia Weir Anthony | Nurse Practitioner | 1887 Spillway Rd, Brandon, MS 39047 | 2006-06-27 |
| Find all providers in zip 39047 | ||||
| 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 |
|---|---|---|---|---|
| 1821615717 | Michael Chanthalangsy | Dentist | 724 Lithia Pinecrest Rd, Brandon, FL 33511-6117 | 2020-06-26 |
| 1396255501 | Happy Family Dental Group, Inc. | Dentist | 510 Westbrook Ave, Brandon, FL 33511 | 2017-10-03 |
| 1558717223 | Tasneeem Chaballout | Dentist | 2119 W Brandon Blvd Ste F, Brandon, FL 33511-4731 | 2016-05-11 |
| 1649658527 | Intl. Dental Group of Florida | Dentist | 520 Oakfield Dr, Brandon, FL 33511-5743 | 2015-05-12 |
| 1922419597 | Brandon Mall Dental P.a. | Dentist | 675 Brandon Town Center Mall, Brandon, FL 33511-4770 | 2014-05-16 |
| 1588088223 | Dental Assoc of South Brandon | Dentist | 611 E Bloomingdale Ave, Suite C, Brandon, FL 33511-8127 | 2014-02-18 |
| 1700213188 | Mark David Mellman | Dentist | 721 W. Robertson St., Suite 107, Brandon, FL 33511 | 2013-10-01 |
| 1982043451 | Phu Van | Dentist | 511 W Brandon Blvd, Brandon, FL 33511-5003 | 2013-06-18 |
| 1013278423 | Brandon Smiles | Dentist | 926 Lumsden Rd., Brandon, FL 33511 | 2012-06-01 |
| 1508140138 | David J Busciglio Dmd Pa | Dentist | 611 Lumsden Professional Ct, Brandon, FL 33511-5996 | 2011-09-30 |
| Find all providers in BRANDON | ||||
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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.