DAVIDSON DENTAL CENTER (NPI# 1558679860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558679860 |
| Entity Type | Organization |
| Organization Name | DAVIDSON DENTAL CENTER |
| Practice Address |
200 N Jackson St Athens TN 37303-3640 |
| Practice Telephone | 4237458363 |
| Practice Fax Number | 4237448462 |
| Mailing Telephone | 4237458363 |
| Mailing Fax Number | 4237448462 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |
| Authorized Official Name | DR. CHARLES G DAVIDSON JR. (DENTIST/OWNER) |
| Authorized Official Telephone | 4237458363 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
200 N JACKSON ST |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356458525 | Charles Gerald Davidson Jr. | Dentist | 200 N Jackson St, Athens, TN 37303-3640 | 2006-08-24 |
| 1659981041 | Taylor Jordan Watson | Dentist | 200 N Jackson St, Athens, TN 37303-3640 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| 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 |
|---|---|---|---|---|
| 1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
| 1821583782 | Tyler Keith Lipham | Dentist | 1805 Epps Bridge Pkwy Ste 101, Athens, GA 30606-6145 | 2018-06-24 |
| 1619460284 | Grant Talbert | Dentist | 105 Hine St S, Athens, AL 35611-2323 | 2018-06-08 |
| 1225393465 | Alabama Dental Professionals PC | Dentist | 220 D French Farms Blvd, Suite D, Athens, AL 35611 | 2012-07-12 |
| 1578858403 | Bradley Kyle Stewart | Dentist | 501 Decatur Pike, Athens, TN 37303-2513 | 2011-06-20 |
| 1083917850 | Complete Dental Center Athens | Dentist | 607 E Hobbs St, Athens, AL 35611-2150 | 2010-12-16 |
| 1013249242 | Alabama Dental Professionals, PC | Dentist | 110 College St., Suite D, Athens, AL 35611 | 2010-02-14 |
| 1033448055 | Thomas H Stillwell | Dentist | 899 Congress Pkwy N, Athens, TN 37303-1659 | 2009-12-22 |
| 1124258470 | Thomas Adam Cole | Dentist | 22051 Us Highway 72, Suite F, Athens, AL 35613-2664 | 2009-07-21 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| Find all providers in ATHENS | ||||
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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.