INFIRM CARE DENTAL SERVICES, INC. (NPI# 1467950790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467950790 |
| Entity Type | Organization |
| Organization Name | INFIRM CARE DENTAL SERVICES, INC. |
| Practice Address |
460 Industrial Ln Oneida TN 37841-6294 |
| Mailing Address |
1143 Oak Ridge Tpke Ste 107a Oak Ridge TN 37830-6422 |
| Practice Telephone | 8652066198 |
| Mailing Telephone | 8652066198 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | PAT N GENGOZIAN (MARKETING DIRECTOR) |
| Authorized Official Telephone | 8652066198 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125K00000X | Advanced Practice Dental Therapist | 1007 | TN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Canterfield Assisted Living, 220 Bus Terminal Rd, Oak Ridge, TN 37830 | 8652066198 |
| Street Address |
460 INDUSTRIAL LN |
| City | ONEIDA |
| State | TN |
| Zip Code | 37841-6294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871594333 | Mountain Peoples Health Councils Inc | Clinic/Center | 460 Industrial Ln, Oneida, TN 37841-6294 | 2005-08-09 |
| 1780249045 | Leisha Danielle Foster | Counselor | 460 Industrial Ln, Oneida, TN 37841-6294 | 2019-05-02 |
| 1649635939 | Mountain Peoples Health Councils Inc | Clinic/Center | 460 Industrial Ln, Oneida, TN 37841-6294 | 2015-12-31 |
| 1760853436 | Grace Ellen Murphy | Nurse Practitioner | 460 Industrial Ln, Oneida, TN 37841 | 2015-10-07 |
| 1144639246 | Chelsea Sexton Shelton | Physician Assistant | 460 Industrial Ln, Oneida, TN 37841-6294 | 2014-08-04 |
| 1275504326 | Edward W Capparelli | Family Medicine | 460 Industrial Ln, Oneida, TN 37841-6294 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811495161 | Kristin Alexis Henry | Physical Therapist | 530 Industrial Ln, Oneida, TN 37841 | 2018-01-31 |
| 1730504754 | Southern Psychiatric Services | Psychiatry & Neurology | 216 North Cross Street, Oneida, TN 37841 | 2014-02-27 |
| 1700142619 | Stephen Daniel Cross | Pharmacist | 20029 Alberta St., Oneida, TN 37841 | 2012-04-04 |
| 1730342700 | Ava Lynn Adcock | Speech-Language Pathologist | 127 Cross Street, Oneida, TN 37841 | 2008-07-09 |
| 1922289560 | Scott County Surgical Associates P.a. | Surgery | 615 N. Main Street, Oneida, TN 37841 | 2007-11-26 |
| 1205035185 | James Wyatt Denzler | Pharmacist | 19856 Alberta St, Oneida, TN 37841 | 2007-07-12 |
| 1073735569 | Dennis K Baird | Dentist | 204 South Bank Street, Oneida, TN 37841 | 2007-05-03 |
| 1629103635 | J. Gregory Roberts Md Rvt | Specialist | 223 Andrew Dr, Oneida, TN 37841 | 2007-02-22 |
| 1790840767 | Synergistics, Inc. | Occupational Therapy Assistant | 125 Cross Street, Oneida, TN 37841 | 2006-12-27 |
| 1033282405 | Scott County Medical Clinic Inc | Clinic/Center | 19268 Alberta Ave, Oneida, TN 37841 | 2006-11-15 |
| Find all providers in zip 37841 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
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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.