MRS. GLORIA MAITE SERRANO CORONADO (NPI# 1639607195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639607195 |
| Entity Type | Individual |
| Full Name | MRS. GLORIA MAITE SERRANO CORONADO |
| Other Name | MISS GLORIA MAITE CORONADO MENDEZ |
| Credential | DDS |
| Practice Address |
824 W Lamar Alexander Pkwy Maryville TN 37801-4578 |
| Mailing Address |
1537 Leconte Dr Maryville TN 37803-5613 |
| Practice Telephone | 8653797004 |
| Practice Fax Number | 8653797040 |
| Mailing Telephone | 7703645648 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2018-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10580 | TN | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
824 W LAMAR ALEXANDER PKWY |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-4578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730462458 | Blue Ridge Family Dentistry Dpc | Dentist | 824 W Lamar Alexander Pkwy, Maryville, TN 37801-4578 | 2011-09-20 |
| 1457766289 | Joshua Mcnutt | Dentist | 824 W Lamar Alexander Pkwy, Maryville, TN 37801-4578 | 2014-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| 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 |
|---|---|---|---|---|
| 1457734113 | Nathaniel Gray Heinsohn | Dentist | 201 E Broadway Ave, #101, Maryville, TN 37804-5741 | 2015-06-30 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1730462458 | Blue Ridge Family Dentistry Dpc | Dentist | 824 W Lamar Alexander Pkwy, Maryville, TN 37801-4578 | 2011-09-20 |
| 1639405731 | Maryville Family Dental | Dentist | 2921 North Center Street, Suite 8-9, Maryville, IL 62062 | 2009-10-23 |
| 1376773879 | Sarah B Shanks | Dentist | 904 W Broadway Ave, Maryville, TN 37801-4637 | 2009-07-17 |
| 1558533844 | Mark D Evans Dds | Dentist | 315 Lamar Street, Maryville, TN 37804-5848 | 2008-03-27 |
| 1194923649 | Erin Cummins Giacomini | Dentist | 1401 Montvale Station Rd, Maryville, TN 37803-5815 | 2007-07-06 |
| 1669674370 | Andrew English | Dentist | 4971 S State Rte 159, Maryville, IL 62062 | 2007-06-04 |
| 1831303684 | Michael Earnest Konrad | Dentist | 1123 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 | 2007-05-10 |
| 1902922826 | William F. Drake | Dentist | 406 S Washington St, Maryville, TN 37804-5801 | 2007-03-22 |
| Find all providers in MARYVILLE | ||||
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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.