LANCE E. KISBY (NPI# 1649228958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649228958 |
| Entity Type | Individual |
| Full Name | LANCE E. KISBY |
| Credential | DMD |
| Practice Address |
1005 Dr D B Todd Jr Blvd Nashville TN 37208 |
| Practice Telephone | 6159205954 |
| Mailing Telephone | 6159205954 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS10109 | TN | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS037121 | PA | Dental Providers |
| Street Address |
1005 DR D B TODD JR BLVD |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437568912 | Ayronada Smith | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr Blvd, Dept of Ob/gyn- Meharry Medical College, Nashville, TN 37208 | 2014-08-08 |
| 1164719142 | Katherine Anne Scott | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr Blvd, Meharry Medical College, Nashville, TN 37208 | 2011-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199210 | Michele M Collins | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 | 2020-06-19 |
| 1730700105 | Prince Eleeh | Student in an Organized Health Care Education/Training Program | Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 | 2020-04-27 |
| 1750900411 | James Curtis Roberson IIi | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 | 2020-04-13 |
| 1184252322 | Sandip Chaugai | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 | 2020-04-01 |
| 1366070542 | Bukola Adeyinka Olagbende | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 | 2020-04-01 |
| 1821651704 | Vielka Oglivie | Social Worker | 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 | 2019-04-17 |
| 1154882702 | Ajua Fondong Azingala | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 | 2019-03-27 |
| 1437619749 | Dockmias Kassahun Demeke | Student in an Organized Health Care Education/Training Program | 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 | 2019-03-22 |
| 1225598717 | Ekemini Ima Orok | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 | 2019-03-21 |
| 1861952608 | Andrea Giselle Lozano | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 | 2019-03-20 |
| Find all providers in zip 37208 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326685132 | East Nashville Pediatric Dentistry, Pllc | Dentist | 1077 E Trinity Ln Ste 104, Nashville, TN 37216-3067 | 2019-11-30 |
| 1558710665 | Little Harpeth Children's Dentistry, Pllc | Dentist | 7640 Us Hwy 70 South, Suite 101, Nashville, TN 37221 | 2016-06-09 |
| 1366602211 | Adams & Seaton Pediatric Dentistry | Dentist | 5115 Harding Pike Ste 201, Nashville, TN 37205-2722 | 2008-06-13 |
| 1316077704 | Timothy Elvin Mcnutt, Sr. | Dentist | 3817 Bedford Ave., Suite 120, Nashville, TN 37215 | 2007-03-06 |
| 1780622233 | Sandra Verlene Trice | Dentist | 304 Glengarry Dr, Nashville, TN 37217 | 2006-06-04 |
| 1700854858 | Kim A. Smiley | Dentist | 2026 Clifton Ave, Nashville, TN 37203-1910 | 2006-03-14 |
| 1770563876 | Adolfina Montalvo Polk | Dentist | 4718 Nolensville Pike, Nashville, TN 37211-5408 | 2006-01-17 |
| 1568451755 | Edward C Perdue | Dentist | 8120 Sawyer Brown Rd, Suite 103, Nashville, TN 37221-1410 | 2005-10-19 |
| 1386197440 | Nairouz Abdelsalam | Dentist | 451 Murfreesboro Pike, Nashville, TN 37210 | 2016-07-25 |
| 1417395682 | Margaret V. Maclin | Dentist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-3866 | 2013-06-11 |
| Find all providers in NASHVILLE | ||||
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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.