DR. BRUCE WALDO SHRIVER (NPI# 1427138247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427138247 |
Entity Type | Individual |
Full Name | DR. BRUCE WALDO SHRIVER |
Credential | DDS |
Practice Address |
422 E Peru St Princeton IL 61356 |
Practice Telephone | 8158752742 |
Mailing Telephone | 8158752742 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | IL | Dental Providers |
Street Address |
422 E PERU ST |
City | PRINCETON |
State | IL |
Zip Code | 61356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
1447362629 | Paul Thomas Castelein | Dentist | 129 North Main Street, Princeton, IL 61356 | 2006-08-31 |
Find all providers in zip 61356 |
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 |
---|---|---|---|---|
1104359967 | Amar Dental Associates LLC | Dentist | 870 Mapleton Rd, Princeton, NJ 08540-9538 | 2017-04-09 |
1548700669 | Matthew Raymond Montenero | Dentist | 301 N Harrison St Ste F, Princeton, NJ 08540 | 2017-03-08 |
1518383900 | Jacqueline Milone | Dentist | 601 Ewing St Ste B4, Princeton, NJ 08540-2755 | 2014-03-10 |
1992128979 | Rui Sergio Seu Dds PC | Dentist | 33 Caroline Dr, Princeton, NJ 08540 | 2014-01-28 |
1164865002 | Prime Dental Care LLC | Dentist | 417 Wall St, Princeton, NJ 08540-1504 | 2013-04-10 |
1265731020 | Nesrine Bestandji | Dentist | 100 Canal Pointe Blvd Ste 116, Princeton, NJ 08540-7123 | 2011-03-19 |
1821254111 | Reena Goyal | Dentist | 28 Caleb Ln, Princeton, NJ 08540-6136 | 2008-08-06 |
1053588616 | Charles H Mann | Dentist | 801 Stafford Dr, Princeton, WV 24740 | 2008-05-13 |
1700084118 | Ashley Marie Pagana | Dentist | 29 Emmons Dr Ste C80, Princeton, NJ 08540-5983 | 2007-07-06 |
1700097631 | T.l.conklin, Dds, Inc. | Dentist | 201 Locust Street, Princeton, WV 24740 | 2007-05-24 |
Find all providers in PRINCETON |
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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.