PAUL D. POTTER, D.D.S., LTD (NPI# 1588808323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588808323 |
| Entity Type | Organization |
| Organization Name | PAUL D. POTTER, D.D.S., LTD |
| Practice Address |
280 West North St Decatur IL 62522 |
| Practice Telephone | 2174233449 |
| Mailing Telephone | 2174233449 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Authorized Official Name | DR. PAUL DUANE POTTER (PRESIDENT) |
| Authorized Official Telephone | 2174233449 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 19-017-257 | IL | Dental Providers |
| Street Address |
280 WEST NORTH ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
| 1801059100 | Melissa Ann Burnett | Dentist | 301 W North Street, Decatur, IL 62522 | 2008-07-07 |
| 1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
| 1033328349 | Jurgens & Kneezel Ltd | Dentist | 334 W Main Street, Decatur, IL 62522 | 2007-05-22 |
| 1740371905 | Randy Curtis Kneezel | Dentist | 334 W Main, Decatur, IL 62522 | 2006-09-27 |
| 1457373375 | Patricia Elaine Norton | Dentist | 1099 W Wood St, Suite E, Decatur, IL 62522 | 2006-07-24 |
| 1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
| 1417408386 | Heritage Behavioral Health Center | Community/Behavioral Health | 955 N Main St, Decatur, IL 62522 | 2016-10-17 |
| 1467522466 | Alan Russell Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-11-08 |
| 1215011713 | Carl Edward Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-10-24 |
| Find all providers in zip 62522 | ||||
| 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 |
|---|---|---|---|---|
| 1437763380 | Ah Chong | Dentist | 755 Commerce Dr Ste 513, Decatur, GA 30030-2618 | 2020-09-08 |
| 1891327904 | Vital Smiles Alabama II PC | Dentist | 809 Beltline Rd Sw Ste A, Decatur, AL 35601-6337 | 2020-02-06 |
| 1568001147 | Amanda Nkechinyere Udunka | Dentist | 3106 Robinwood Trl, Decatur, GA 30034-3553 | 2019-12-31 |
| 1972097459 | Ashley Marie Nowdomski | Dentist | 1353 E Mound Rd Ste 101, Decatur, IL 62526-3600 | 2018-06-19 |
| 1639609340 | Zi Jian Wu | Dentist | 2570 Blackmon Dr Ste 310, Decatur, GA 30033-6197 | 2017-06-14 |
| 1780036848 | Smiles of Decatur P.C. | Dentist | 2458 Wesley Chapel Rd Ste B, Decatur, GA 30035-3423 | 2016-07-12 |
| 1093102055 | Kevin Jeffrey Greene | Dentist | 1821 Beltline Rd Sw, Decatur, AL 35601-5506 | 2015-04-16 |
| 1801225479 | Jorge Carlos Griswold | Dentist | 2680 Lawrenceville Hwy Ste 102, Decatur, GA 30033-2526 | 2013-11-04 |
| 1376885343 | Paul Duane Potter | Dentist | 280 W North St, Decatur, IL 62522-2222 | 2013-03-18 |
| 1508127135 | Kyoung Yun Lee | Dentist | 141 E Pershing Rd, Decatur, IL 62526-3213 | 2012-05-30 |
| Find all providers in DECATUR | ||||
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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.