DR. BLAKE QUIGLEY (NPI# 1609276054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609276054 |
| Entity Type | Individual |
| Full Name | DR. BLAKE QUIGLEY |
| Credential | DDS |
| Practice Address |
315 Mchugh Blvd 2d Denbn/ncd Psc 20130 Commanding Officer Camp Lejeune NC 29540-0130 |
| Practice Telephone | 9104512208 |
| Practice Fax Number | 9104518036 |
| Mailing Telephone | 9104512208 |
| Mailing Fax Number | 9104518036 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE 60477534 | WA | Dental Providers |
| Street Address |
315 MCHUGH BLVD 2D DENBN/NCD PSC 20130 COMMANDING OFFICER |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 29540-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403477 | Christopher John Cobb | Dentist | 315 Mchugh Blvd, 2d Denbn/ndc, Camp Lejeune, NC 28547-2511 | 2005-08-09 |
| 1275052417 | Paige Nicole Roland | Dentist | 315 Mchugh Blvd, Camp Lejeune, NC 28542-0130 | 2017-09-19 |
| 1851810188 | Agnes T Ho | Dentist | 315 Mchugh Blvd, Camp Lejeune, NC 28547-2511 | 2017-09-19 |
| 1124499520 | Hee Young Hwang | Dentist | 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc, Psc 20130, Camp Lejeune, NC 28542-0130 | 2015-10-12 |
| 1013325042 | Jessica Renee Norris | Student in an Organized Health Care Education/Training Program | 315 Mchugh Blvd, Commanding Officer 2d Denbn/ndc Psc 20130, Camp Lejeune, NC 28542-0130 | 2014-07-22 |
| 1811303183 | Kevin Christopher Wiman | Dentist | 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc, Psc 20130, Camp Lejeune, NC 28542-0130 | 2014-07-08 |
| 1598177222 | Blake Aaron Donaldson | Student in an Organized Health Care Education/Training Program | 315 Mchugh Blvd, Commanding Officer 2d Denbn/ndc Psc 20130, Camp Lejeune, NC 28540-0130 | 2014-05-29 |
| 1871843755 | Christopher Robert Ortiz | Dentist | 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc, Psc Box 20130, Camp Lejeune, NC 28542-0130 | 2012-09-18 |
| 1407103807 | Alan Douglas Dransfield | Dentist | 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc Psc 20130, Camp Lejeune, NC 28542-0130 | 2012-08-06 |
| 1255696316 | Ebony D Reed | Dentist | 315 Mchugh Blvd, 2d Denbn/ndc, Commanding Officer, Camp Lejeune, NC 28542-0130 | 2012-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730551037 | Teresa Bynum | Counselor | 1212 Pilgrim Dr, Darlington, SC 29540 | 2015-10-26 |
| 1932157666 | Michael P Flynn | Nurse Anesthetist, Certified Registered | 701 Cashua Ferry Rd, Darlington, SC 29540 | 2006-05-05 |
| 1134753650 | Tonya Latrece Wingate | Early Intervention Provider Agency | 817 N Springville Rd, Darlington, SC 29540-7914 | 2020-02-24 |
| 1447755954 | William Mccall | Counselor | 1957 Lide Springs Rd, Darlington, SC 29540-8534 | 2018-03-27 |
| 1437612249 | Tchalla Douglas | Early Intervention Provider Agency | 347 Dovesville Hwy, Darlington, SC 29540-9366 | 2019-04-09 |
| 1669030946 | Pee Dee Kids LLC | Early Intervention Provider Agency | 347 Dovesville Hwy, Darlington, SC 29540-9366 | 2019-06-03 |
| 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 |
|---|---|---|---|---|
| 1730794439 | Lauren Marie Barton | Dentist | H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 | 2020-09-10 |
| 1295387538 | Jackson J Whitcomb | Dentist | Commanding Officer 2d Denbn/ndc Psc 20310, 315 Mcghugh Blvd, Camp Lejeune, NC 28542-0130 | 2019-07-16 |
| 1992357651 | Ryan Carter Wainwright | Dentist | Commanding Officer 2d Denbn/ndc Psc 20130, 315 Mchugh Blvd, Camp Lejeune, NC 28542-0130 | 2019-07-12 |
| 1285100776 | Jesse Elledge | Dentist | Commanding Officer 2d Denbn/ndc, Psc 20130 315 Mchugh Blvd, Camp Lejeune, NC 28542-0130 | 2018-10-23 |
| 1295244911 | Amy Sara Maya | Dentist | Commanding Officer, 2d Denbn/ndc 315 Mchugh Blvd, Camp Lejeune, NC 28542-0130 | 2017-09-26 |
| 1083134480 | Joshua W. Johnson | Dentist | 315 Mchguh Blvd, Commanding Officer, 2d Denbn/ndc Psc 20130, Camp Lejeune, NC 28542 | 2017-06-27 |
| 1043687759 | Michael David Hoglund | Dentist | 315 Mchugh Blvd 2d Denbn/ndc Psc 20130, Commanding Officer, Camp Lejeune, NC 28542-0130 | 2015-08-28 |
| 1548660566 | Eli Nathan Lowry | Dentist | Psc 20130 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc, Camp Lejeune, NC 28542-0130 | 2014-08-27 |
| 1215368527 | Chase Westhall Fetters | Dentist | Commanding Officer, 2d Denbn/ndc, Psc 20130, 315 Mchugh Blvd, Camp Lejeune, NC 28542-0130 | 2013-12-12 |
| 1518392000 | David Parent Burr | Dentist | 315 Mchugh Blvd Commanding Officer, 2d Denbn/ndc, Psc 20130, Camp Lejeune, NC 28542-0130 | 2013-09-04 |
| Find all providers in CAMP LEJEUNE | ||||
| City | CAMP LEJEUNE |
| Zip Code | 29540 |
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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.