DARRYL T DEASON (NPI# 1407000417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407000417 |
| Entity Type | Organization |
| Organization Name | DARRYL T DEASON |
| Practice Address |
801 W Main St Suite B Woodbury TN 37190-1047 |
| Practice Telephone | 6155632266 |
| Practice Fax Number | 6155634258 |
| Mailing Telephone | 6155632266 |
| Mailing Fax Number | 6155634258 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | DR. DARRYL T DEASON (DENTIST) |
| Authorized Official Telephone | 6155632266 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS3575 | TN | Dental Providers |
| Street Address |
801 W MAIN ST SUITE B |
| City | WOODBURY |
| State | TN |
| Zip Code | 37190-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003360793 | Woodbury Dental Partners | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143891 | Results-ast Jv, LLC | Physical Therapist | 324 Doolittle Road, Woodbury, TN 37190 | 2020-10-26 |
| 1255407219 | Catherine Lorraine Levi | Physical Therapy Assistant | 119 West High Street, Woodbury, TN 37190 | 2006-11-28 |
| 1669807830 | Heather J Melton | Nurse Practitioner | 89 Mears Drive, Woodbury, TN 37190 | 2013-09-06 |
| 1639245681 | James L Mayes | Physical Therapist | 324 Doolittle Rd, Woodbury, TN 37190 | 2006-11-28 |
| 1811063878 | Melisa Johnson Curtis | Physical Therapy Assistant | 324 Doolittle Rd, Stones River Hospital Inpatient Rehab, Woodbury, TN 37190 | 2006-11-28 |
| 1437677796 | Woodbury Drug Center LLC | Pharmacy | 604 W Main St, Woodbury, TN 37190-1029 | 2017-09-06 |
| 1437148905 | Darryl T Deason | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-18 |
| 1629067855 | Andrew P Bucher | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-20 |
| 1245375583 | Karen Anne Maloney | Registered Nurse | 301 W Main St Ste 200, Tn Dept of Health, Woodbury, TN 37190-1100 | 2007-02-21 |
| 1912364936 | Cannon County Board of Education | Physical Therapist | 301 W Main St, Woodbury, TN 37190-1100 | 2016-01-21 |
| Find all providers in zip 37190 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769676 | Kristina Pokharel | Dentist | 8525 Titanium Cir, Woodbury, MN 55129-2227 | 2019-06-14 |
| 1104318328 | Nailah Khalfan | Dentist | 48 Westwood Ct, Woodbury, NY 11797-2624 | 2018-06-04 |
| 1255880944 | Salute Dental | Dentist | 2101 Woodwinds Dr Ste 500, Woodbury, MN 55125-2527 | 2016-09-23 |
| 1164877288 | Jurim Dental Group | Dentist | 370 Crossways Park Dr, Woodbury, NY 11797-2050 | 2016-04-26 |
| 1639544141 | Corsi Dental Associates | Dentist | 161 N Broad St, Woodbury, NJ 08096-1718 | 2015-12-09 |
| 1477929008 | Avra Miriam Louis | Dentist | 85 Woodlake Dr W, Woodbury, NY 11797-2304 | 2015-08-18 |
| 1053791954 | Rebecca J Petersen | Dentist | 8325 Seasons Parkway Suite 103, Healthpartners Woodbury Dental, Woodbury, MN 55125-3477 | 2015-06-04 |
| 1205261195 | City Center Dental, L.L.C. | Dentist | 8375 City Centre Dr, Woodbury, MN 55125-3324 | 2013-09-10 |
| 1518231596 | Woodbury Dental Arts Pa | Dentist | 2070 Eagle Creek Ln, Woodbury, MN 55129-3216 | 2012-03-08 |
| 1134497621 | Alan Jeffrey Wilensky | Dentist | 2 Hunters Run, Woodbury, NY 11797-1100 | 2011-12-12 |
| Find all providers in WOODBURY | ||||
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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.