MS. MARQUITA DIANE WALLACE (NPI# 1598087900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598087900 |
Entity Type | Individual |
Full Name | MS. MARQUITA DIANE WALLACE |
Practice Address |
600 N Highway 190 Suite 4 Covington LA 70433-5003 |
Practice Telephone | 6158871379 |
Mailing Telephone | 6158871379 |
Enumeration Date | 2010-02-26 |
Last Update Date | 2013-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 6135 | LA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609268911 | Marquita Wallace | Pharmacist | 6006 Beach Blvd, Jacksonville, FL 32216-2702 | 2015-02-24 |
Street Address |
600 N HIGHWAY 190 SUITE 4 |
City | COVINGTON |
State | LA |
Zip Code | 70433-5003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467524108 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 600 N Highway 190, Suite 2, Covington, LA 70433-5003 | 2006-11-15 |
1700147345 | John Lucien Dours | Dentist | 600 N Highway 190, Suite #4, Covington, LA 70433-5003 | 2012-05-30 |
1467737213 | Cynthia P Morgan-d'atrio | Psychologist | 600 N Highway 190, Suite 211, Covington, LA 70433-5003 | 2011-10-12 |
1518240811 | Julie Dean Shartle | Social Worker | 600 N Highway 190, Suite 207, Covington, LA 70433-5003 | 2011-09-22 |
1265714703 | Randall George Parent | Social Worker | 600 N Highway 190, Suite 207, Covington, LA 70433-5003 | 2011-09-11 |
1982983953 | Jonathan Nguyen | Dentist | 600 N Highway 190, Suite 4, Covington, LA 70433-5003 | 2011-08-09 |
1144516527 | Sarah Raymond Haydel | Dentist | 600 N Highway 190, Covington, LA 70433-5003 | 2011-06-23 |
1073819405 | Precious Montey Mcgregor-wiltz | Dentist | 600 N Highway 190, Suite 4, Covington, LA 70433-5003 | 2011-02-02 |
1366751448 | Catherine L. Austin, Ph.d., LLC | Community/Behavioral Health | 600 N Highway 190, Suite 207, Covington, LA 70433-5003 | 2010-10-06 |
1487773941 | Covington Dental Office of Joseph R. Lacoste, Jr, Dds | Dentist | 600 N Highway 190, Suite 4, Covington, LA 70433-5003 | 2007-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
Find all providers in zip 70433 |
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 |
---|---|---|---|---|
1124510276 | Washington Dental Corporation, PC | Dentist | 27237 172nd Ave Se Ste 105a, Covington, WA 98042-7352 | 2018-06-05 |
1144732223 | Cali Nicole Spell | Dentist | 79132 Highway 40, Covington, LA 70435-9329 | 2017-10-30 |
1346693892 | Kyle Blair | Dentist | 17121 Se 270th Pl Ste 202, Covington, WA 98042-5431 | 2016-07-20 |
1134570591 | Dr. Bill Gramzinski, D.m.d., P.C. | Dentist | 3204 Mill St Ne, Covington, GA 30014-2538 | 2016-06-28 |
1083062228 | Solomon Yakubov | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014-3001 | 2016-05-27 |
1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
1346655453 | Timothy Reid Miller | Dentist | 27081 185th Ave Se Ste 105, Covington, WA 98042-8448 | 2014-06-26 |
1245676568 | Magnolia Dental LLC | Dentist | 6061 Pinnacle Parkway, Covington, LA 70433 | 2013-05-14 |
1861738973 | Covington Family Dentistry LLC | Dentist | 4168 Baker St Ne, Covington, GA 30014-1404 | 2012-12-17 |
1982966537 | Charles Zachary Staples | Dentist | 6061 Pinnacle Pkwy, Covington, LA 70433-9193 | 2012-06-11 |
Find all providers in COVINGTON |
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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.