DR. JODICE LEE (NPI# 1558438366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558438366 |
| Entity Type | Individual |
| Full Name | DR. JODICE LEE |
| Other Name | JODICE LEE-BELISLE |
| Credential | DDS |
| Practice Address |
2130 W Poplar Ave Suite 106 Collierville TN 38017 |
| Practice Telephone | 9018617007 |
| Practice Fax Number | 9018617066 |
| Mailing Telephone | 9018617007 |
| Mailing Fax Number | 9018617066 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8309 | TN | Dental Providers |
| Street Address |
2130 W POPLAR AVE SUITE 106 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| 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 |
|---|---|---|---|---|
| 1477039188 | Jessica Wang | Dentist | 61 Peyton Pkwy Ste 101, Collierville, TN 38017-9702 | 2018-07-16 |
| 1003329285 | Tennessee Dental Professionals, PC | Dentist | 1055 W Poplar Ave, Collierville, TN 38017-3180 | 2017-11-10 |
| 1609225697 | Amy Balestrino Hill | Dentist | 61 Peyton Pkwy Ste 103, Collierville, TN 38017-9702 | 2016-06-09 |
| 1659793495 | Van Zyl Center for Advanced Dentistry | Dentist | 1108 Halle Park Cir, Collierville, TN 38017-7084 | 2014-01-14 |
| 1811244874 | Joshua A. Holcomb, D.d.s., P.l.l.c. | Dentist | 435 N Byhalia Rd Ste 112, Collierville, TN 38017-3709 | 2012-08-09 |
| 1447441977 | Andy Hill | Dentist | 1011 W Poplar Ave, Suite 4, Collierville, TN 38017-2585 | 2007-08-08 |
| 1700905080 | Phyllis A Dickinson-branch | Dentist | 2130 W. Poplar Ave, Suite 106, Collierville, TN 38017 | 2007-03-28 |
| 1346381977 | American Family Dentistry | Dentist | 2130 W Poplar Ave, Suite 106, Collierville, TN 38017-0615 | 2007-02-08 |
| 1619036902 | Thomas K. Ploch Dds PC | Dentist | 2028 W. Poplar, Suite 111, Collierville, TN 38017-0618 | 2006-12-06 |
| 1114090404 | R. E. Angelici | Dentist | 1122 Poplar View Ln N, Collierville, TN 38017-9323 | 2006-11-16 |
| Find all providers in COLLIERVILLE | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
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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.