DR. JACQUELINE SERVAIS (NPI# 1508241746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508241746 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE SERVAIS |
| Credential | DMD |
| Practice Address |
7905 Malcolm Rd Ste 104 Clinton MD 20735-1734 |
| Practice Telephone | 3018687228 |
| Mailing Telephone | 3018687228 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2017-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
15896 | MD | Dental Providers |
| Street Address |
7905 MALCOLM RD STE 104 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174688006 | Willard Branit Cox | Dentist | 7905 Malcolm Rd, Suite 104, Clinton, MD 20735-1734 | 2006-12-22 |
| 1053868927 | Proflex Physical Therapy of Maryland, LLC | Clinic/Center | 7905 Malcolm Rd, 201, Clinton, MD 20735-1734 | 2016-09-08 |
| 1548715907 | Kara Dobbs | Physical Therapist | 7905 Malcolm Rd, #201, Clinton, MD 20735-1734 | 2016-08-15 |
| 1326421116 | Allison Vogel | Physical Therapist | 7905 Malcolm Rd, Suite 201, Clinton, MD 20735-1734 | 2015-06-30 |
| 1487068177 | Daniel Brophy | Physical Therapist | 7905 Malcolm Rd, Suite 201, Clinton, MD 20735-1734 | 2014-06-20 |
| 1770901258 | Krystal Monique Brewington | Occupational Therapist | 7905 Malcolm Rd, Ste 201, Clinton, MD 20735-1749 | 2014-04-02 |
| 1700010709 | Sachin Rastogi | Dentist | 7905 Malcolm Rd, Suite # 300, Clinton, MD 20735-1734 | 2009-05-06 |
| 1427295005 | Neveen S. Wahab | Dentist | 7905 Malcolm Rd, Ste.#300, Clinton, MD 20735-1734 | 2009-01-19 |
| 1578715777 | Glenn C. Schermer | Dentist | 7905 Malcolm Rd, Ste#300, Clinton, MD 20735-1734 | 2008-10-21 |
| 1861644163 | Guido Costa | Dentist | 7905 Malcolm Rd, Ste#300, Clinton, MD 20735-1734 | 2008-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| 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 |
|---|---|---|---|---|
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1508386616 | Blaire Alford | Dentist | 380 Highway 80 E Ste A, Clinton, MS 39056-4748 | 2017-06-21 |
| 1811427677 | Total You Family Dentistry | Dentist | 9135 Piscataway Rd Ste 105, Clinton, MD 20735-2548 | 2017-06-14 |
| 1114386802 | Christopher A Fallago | Dentist | 8 E Main St Ste 202, Clinton, CT 06413-2058 | 2016-02-23 |
| 1245636174 | Rick Canty | Dentist | 201a S Washington St, Clinton, KY 42031-1440 | 2014-11-04 |
| 1962830349 | Drs. Roh, Park and Hwang, LLC | Dentist | 7700 Old Branch Ave Ste E102, Clinton, MD 20735-1628 | 2013-10-23 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1346504230 | Paul N Singh | Dentist | 8913 Woodyard Rd, Clinton, MD 20735-4257 | 2012-06-26 |
| 1497040489 | Beautiful Smiles, L.L.C. | Dentist | 9001 Stuart Ln, Clinton, MD 20735-2744 | 2011-06-17 |
| Find all providers in CLINTON | ||||
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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.