ASPEN DENTAL (NPI# 1578966974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578966974 |
| Entity Type | Organization |
| Organization Name | ASPEN DENTAL |
| Other Organization Name | SCOTT C DICKINSON DMD PC |
| Practice Address |
2203 Stadium Blvd Jonesboro AR 72401 |
| Practice Telephone | 8002772341 |
| Practice Fax Number | 8702772935 |
| Mailing Telephone | 8002772341 |
| Mailing Fax Number | 8702772935 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | SCOTT C DICKINSON (OWNER) |
| Authorized Official Telephone | 8002772341 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Scott C Dickinson DMD PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750784054 | Aspen Dental | Dentist | 12221 St. Charles Rock Rd, Bridgeton, MO 63044 | 2014-09-30 |
| 1598171720 | Aspen Dental | Dentist | 3411 Sw 36th Ter, Ocala, FL 34474-7404 | 2014-07-09 |
| 1194972273 | Aspen Dental | Dentist | 15500 Van Aken Blvd, Apt 205, Shaker Heights, OH 44120-5390 | 2008-08-20 |
| 1467714584 | Aspen Dental | Dentist | 7731 Kingston Pike, 102, Knoxville, TN 37919-5519 | 2012-06-14 |
| 1548527179 | Aspen Dental | Dentist | 5035 Frederica St, Ste 3, Owensboro, KY 42301-7515 | 2012-04-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | ASPEN DENTAL | Rutland, VT |
| Ohio Business Entities | ASPEN DENTAL | 3292 Elida Road, Lima, OH 45805 |
| Oregon Corporations, Companies and Business Names | ASPEN DENTAL | 6607 Canal Drive Ste B, Kennewick, WA 99336 |
| New York State Corporations | ASPEN DENTAL ASSOCIATES OF HUDSON VALLEY, PLLC | 80 State Street, Albany, New York 12207-2543 |
| Massachusetts Corporations | ASPEN DENTAL ASSOCIATES OF HUDSON VALLEY, PLLC | 1710 Altamont Ave., Schenectady, NY 12303-2154 |
| Vermont Business Registrations | ASPEN DENTAL ASSOCIATES OF HUDSON VALLEY, PLLC | 474 Holiday Dr., Ste. 1, Rutland, VT 05701 |
| System for Award Management (SAM) Entities | ASPEN DENTAL ASSOCIATES OF NEPA, PLLC | 4255 Lotus Ln, Coopersburg, PA 18036-9598 |
| Vermont Business Registrations | ASPEN DENTAL ASSOCIATES OF NEW ENGLAND, P.C. | 20 Commerce Way, Seekonk, MA 02771 |
| Connecticut Business Registrations | ASPEN DENTAL ASSOCIATES OF NEW ENGLAND, P.C. | 20 Commerce Way, Seekonk, MA 02771 |
| New York State Corporations | ASPEN DENTAL ASSOCIATES OF NEW YORK, P.C. | 28 Liberty Street, New York, Ny 10005 |
| Street Address |
2203 STADIUM BLVD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1336680552 | Mujtaba Alamiri | Dentist | 3206 Elmhurst Dr, Jonesboro, AR 72404-9616 | 2017-03-20 |
| 1558712166 | Corey Haughey | Dentist | 1804 Old Greensboro Rd, Jonesboro, AR 72401-1896 | 2016-06-24 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
| 1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
| 1780012203 | Texas Dental Implant Center | Dentist | 1237 County Road 197, Jonesboro, TX 76538-1207 | 2013-10-18 |
| 1588003362 | William Reynolds Little | Dentist | 3637 E. Johnson Ave., Suite B, Jonesboro, AR 72401 | 2013-06-14 |
| 1871841817 | Ashland Doomes | Dentist | 301 N Main St Jonesboro, Jonesboro, GA 30236 | 2012-08-23 |
| 1164643011 | Jeremy Lynn Adams | Dentist | 911 Osler Dr Ste D, Jonesboro, AR 72401-4320 | 2007-05-01 |
| 1376600957 | Benjamin Allen Taylor Jr. | Dentist | 153 W Mill St, Jonesboro, GA 30236 | 2007-01-02 |
| Find all providers in JONESBORO | ||||
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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.