DR. JETHE ANN ABRAHAM (NPI# 1629265442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629265442 |
| Entity Type | Individual |
| Full Name | DR. JETHE ANN ABRAHAM |
| Credential | D.D.S. |
| Practice Address |
317 W Cherry Ln Meridian ID 83642-1608 |
| Mailing Address |
890 W Melrose St Boise ID 83706-4677 |
| Practice Telephone | 2084897077 |
| Mailing Telephone | 6123101997 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2010-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-4270 | ID | Dental Providers |
| Street Address |
317 W CHERRY LN |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548282528 | Willowtree Dental Group Pllc | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2006-07-25 |
| 1942661038 | Willow Tree Dental Pllc | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2016-03-16 |
| 1285040394 | Blake Imam | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2014-07-09 |
| 1093974446 | Willow Tree Dental Group LLC | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2008-06-02 |
| 1669643425 | William T Ritter | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2008-03-19 |
| 1083802268 | Matthew L Tuft | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2007-10-12 |
| 1124199237 | David M Lewis | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2006-11-11 |
| 1760553879 | John L Adams | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2006-11-11 |
| 1023189131 | Marivin Oto | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2006-11-11 |
| 1053482158 | Julie L Hess | Dentist | 317 W Cherry Ln, Meridian, ID 83642-1608 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1346870144 | Sleep Better Idaho LLC | Dentist | 3200 N Leslie Way, Meridian, ID 83646-5362 | 2020-01-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1598144198 | Signature Smiles | Dentist | 3200 N Leslie Way Ste 110, Meridian, ID 83646-5362 | 2015-05-28 |
| 1497192876 | Taylor Farland | Dentist | 2300 North Hills, Meridian, MS 39305 | 2013-05-27 |
| 1043562143 | Meridian Smiles Dentistry, PC | Dentist | 2274 N Eagle Rd Ste 130, Meridian, ID 83646-6285 | 2012-10-12 |
| 1366707796 | Scott Richard Thompson | Dentist | 6700 N Linder Rd, Meridian, ID 83646-6606 | 2012-07-11 |
| 1477861334 | Accure Dental and Dentures | Dentist | 1505 S Eagle Rd, Ste. 150, Meridian, ID 83642-9346 | 2010-09-14 |
| 1184944290 | Matthew Joel Harris | Dentist | 2300 N Hills St, Meridian, MS 39305-2633 | 2010-06-11 |
| 1801119367 | Meridian Dental Associates | Dentist | 1411 22nd Ave., Meridian, MS 39301-2046 | 2010-03-11 |
| 1528293255 | Gaylan Chris Holdaway | Dentist | 3325 N Ten Mile Rd # 140, Meridian, ID 83646-5409 | 2009-05-26 |
| Find all providers in MERIDIAN | ||||
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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.