MENA AZAB (NPI# 1508481730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508481730 |
| Entity Type | Individual |
| Full Name | MENA AZAB |
| Credential | DDS |
| Practice Address |
1005 Dr Db Todd Jr Blvd Nashville TN 37208-3501 |
| Mailing Address |
2113 Forge Ridge Cir Nashville TN 37217-3028 |
| Practice Telephone | 6153276207 |
| Mailing Telephone | 6158104392 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-10-29 |
| NPI Deactivation Date | 09/08/2020 |
| NPI Reactivation Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11364 | TN | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1005 DR DB TODD JR BLVD |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37208-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588634901 | Kimberley Lynnette Perkins | Dentist | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2006-01-26 |
| 1255946620 | Susanna Noel King | Nurse Practitioner | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2020-09-12 |
| 1306456017 | Alexys Kelly | Dentist | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2020-08-06 |
| 1699385617 | Isaac Brown | Student in an Organized Health Care Education/Training Program | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2020-08-04 |
| 1831717180 | Mohamed M Elghannam | Student in an Organized Health Care Education/Training Program | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2020-07-13 |
| 1487271920 | Omar Aref | Dentist | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2020-07-01 |
| 1558988055 | Crystal G Fuller | Student in an Organized Health Care Education/Training Program | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2020-06-30 |
| 1447871447 | Moo Jin Oh | Student in an Organized Health Care Education/Training Program | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2020-04-30 |
| 1659992857 | Omar David Chapa | Student in an Organized Health Care Education/Training Program | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2020-04-29 |
| 1538789979 | Tin T Nguyen | Student in an Organized Health Care Education/Training Program | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2020-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199210 | Michele M Collins | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 | 2020-06-19 |
| 1730700105 | Prince Eleeh | Student in an Organized Health Care Education/Training Program | Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 | 2020-04-27 |
| 1750900411 | James Curtis Roberson IIi | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 | 2020-04-13 |
| 1184252322 | Sandip Chaugai | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 | 2020-04-01 |
| 1366070542 | Bukola Adeyinka Olagbende | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 | 2020-04-01 |
| 1821651704 | Vielka Oglivie | Social Worker | 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 | 2019-04-17 |
| 1154882702 | Ajua Fondong Azingala | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 | 2019-03-27 |
| 1437619749 | Dockmias Kassahun Demeke | Student in an Organized Health Care Education/Training Program | 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 | 2019-03-22 |
| 1225598717 | Ekemini Ima Orok | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 | 2019-03-21 |
| 1861952608 | Andrea Giselle Lozano | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 | 2019-03-20 |
| Find all providers in zip 37208 | ||||
| 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 |
|---|---|---|---|---|
| 1831749027 | Sylvan Park Smiles Dentistry, PC | Dentist | 4502 Charlotte Ave, Nashville, TN 37209-3610 | 2019-09-19 |
| 1437711207 | John Kim | Dentist | 21 White Bridge Rd Ste 111, Nashville, TN 37205-1443 | 2019-07-02 |
| 1295395879 | Tn Dental Professionals PC | Dentist | 1214 Gallatin Ave Ste 115, Nashville, TN 37206-3270 | 2019-06-17 |
| 1194385062 | Tmj and Airway Associates of Nashville, Pllc | Dentist | 4219 Hillsboro Pike Ste 107, Nashville, TN 37215-3309 | 2019-06-13 |
| 1013574284 | Bao Truc Sybo | Dentist | 4502 Charlotte Pike, Nashville, TN 37209 | 2019-05-23 |
| 1063994929 | Smiles Made Here of Arkansas Pa | Dentist | 414 Union Street 8th Floor, Nashville, TN 37219 | 2018-09-06 |
| 1457833329 | Danny Blaine Leeds, D.d.s. Dentistry, P.c | Dentist | 414 Union Street, 8th Floor, Nashville, TN 37219 | 2018-09-06 |
| 1124508049 | Clayton C. Cummings Dds PC | Dentist | 2405 Crestmoor Road, Nashville, TN 37215 | 2018-08-20 |
| 1427547769 | Amanda Spaulding Densmore | Dentist | 3829 Cleghorn Ave, Nashville, TN 37215-2507 | 2018-05-02 |
| 1922521178 | John Mark Harris | Dentist | 1916 Hayes St, Nashville, TN 37203-2317 | 2017-07-19 |
| Find all providers in NASHVILLE | ||||
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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.