DR. AMY ROBERTSON WADSWORTH (NPI# 1649420340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649420340 |
| Entity Type | Individual |
| Full Name | DR. AMY ROBERTSON WADSWORTH |
| Credential | D.D.S. |
| Practice Address |
2264 Mcingvale Rd Hernando MS 38632-8710 |
| Practice Telephone | 6624296736 |
| Practice Fax Number | 6624296752 |
| Mailing Telephone | 6624296736 |
| Mailing Fax Number | 6624296752 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3018-97 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1366894404 | Amy Wadsworth | Nurse Practitioner | 1001 Leighton Ave, Anniston, AL 36207-5701 | 2016-07-12 |
| Street Address |
2264 MCINGVALE RD |
| City | HERNANDO |
| State | MS |
| Zip Code | 38632-8710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821248527 | Nicholas Martin Darby | Dentist | 2264 Mcingvale Rd, Hernando, MS 38632-8710 | 2008-09-30 |
| 1609027325 | Robert E. Maddux Dds Inc. | Dentist | 2264 Mcingvale Rd, Hernando, MS 38632-8710 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1447506514 | Surgical First Assist, LLC | Specialist/Technologist, Other | 8921 Black Panther Cove, Herenando, MS 38632 | 2012-07-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| Find all providers in zip 38632 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678436 | Advn Dental Partners Pa | Dentist | 2460 N Essex Avenue, Hernando, FL 34442 | 2020-01-15 |
| 1699325860 | Citrus Family Dentistry, Pa | Dentist | 2300 E Norvell Bryant Hwy, Hernando, FL 34442-8902 | 2019-09-18 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1851433536 | Matthew J Lasorsa | Dentist | 2460 N Essex Ave, Hernando, FL 34442-5321 | 2007-02-12 |
| 1487717880 | Robert Lewis Smith Jr. | Dentist | 007 E Commerce St, Hernando, MS 38632-2215 | 2006-12-18 |
| 1629332762 | Bryant Collins Trotter | Dentist | 460 Byhalia Rd, Hernando, MS 38632-1319 | 2012-07-03 |
| 1063666584 | Desoto County Family Dentistry, P.l.l.c. | Dentist | 2631 Mcingvale Rd, Suite 104, Hernando, MS 38632-5934 | 2008-11-11 |
| 1609027325 | Robert E. Maddux Dds Inc. | Dentist | 2264 Mcingvale Rd, Hernando, MS 38632-8710 | 2008-10-01 |
| 1770749988 | Mark Clinton Rogers | Dentist | 2629 N Forest Ridge Blvd, Hernando, FL 34442-5123 | 2008-08-07 |
| 1124245444 | Desoto Family Dental Care,pa | Dentist | 460 Byhalia Rd, Hernando, MS 38632-1319 | 2007-04-19 |
| Find all providers in HERNANDO | ||||
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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.