MEGAN LYNETTE PREVILLE (NPI# 1700035730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700035730 |
Entity Type | Individual |
Full Name | MEGAN LYNETTE PREVILLE |
Credential | DMD |
Practice Address |
6000 Bond Ave Dental Clinic Centreville IL 62207-2328 |
Practice Telephone | 6183322740 |
Mailing Telephone | 6183322740 |
Enumeration Date | 2008-09-15 |
Last Update Date | 2015-04-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 019029730 | IL | Dental Providers |
N | 122300000X | Dentist | DD3187 | NM | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
6000 BOND AVE DENTAL CLINIC |
City | CENTREVILLE |
State | IL |
Zip Code | 62207-2328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386633295 | Heather Surratt | Dentist | 6000 Bond Ave, Sihf - Mcc, Centreville, IL 62207-2328 | 2005-10-14 |
1730574617 | Lara E. Stein | Obstetrics & Gynecology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2015-03-30 |
1134546690 | Bhawna Sharma | Psychiatry & Neurology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2014-03-23 |
1629409362 | Natascha R Jeffries | Nurse Practitioner | 6000 Bond Ave, Centreville, IL 62207-2328 | 2013-12-05 |
1265612105 | Donna Marie Meyers | Registered Nurse | 6000 Bond Ave, Centreville, IL 62207-2328 | 2007-11-08 |
1730245291 | Marcia Mcgraw-houchens | Registered Nurse | 6000 Bond Ave, Centreville, IL 62207-2328 | 2006-12-29 |
1609813500 | Southern Illinois Healthcare Foundation Inc | Obstetrics & Gynecology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2006-05-31 |
1184608986 | Bonnie J Summers | Nurse Practitioner | 6000 Bond Ave, Centreville, IL 62207-2328 | 2005-12-05 |
1689664286 | Vandana Gupta | Dentist | 6000 Bond Ave, Centreville, IL 62207-2328 | 2005-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114493723 | Monica Marie Magowan | Nurse Practitioner | Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 | 2018-10-22 |
1063708345 | Porshia Lenee' Egerson | Student in an Organized Health Care Education/Training Program | 6032 Clarita Ave, Centreville, IL 62207-1019 | 2011-06-24 |
1679742506 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1501 S G St, East Saint Louis, IL 62207-2057 | 2008-02-25 |
1780853614 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 1500 Wilford Ave, East Saint Louis, IL 62207-2066 | 2008-02-25 |
1891395893 | Cheryl Lynn Eubanks | Technician | 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 | 2020-10-28 |
1871086082 | Medicate Pharmacy Inc | Pharmacy | 5869 Bond Ave, Centreville, IL 62207-2300 | 2018-06-12 |
1255357224 | Mohammad Hashemi | Radiology | 5900 Bond Ave, East Saint Louis, IL 62207-2326 | 2006-07-14 |
1952900763 | Danielle Victoria Williams | Dietitian, Registered | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-10-22 |
1750992459 | Touchette Regional Hospital Inc | Psychiatric Unit | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-08-14 |
1932722295 | Alecia E Marks | Social Worker | 5900 Bond Ave, Centreville, IL 62207-2326 | 2020-05-21 |
Find all providers in zip 62207 |
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 |
---|---|---|---|---|
1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
1275808438 | Smart Dental Holdings, LLC | Dentist | 223 Pierson Ave, Centreville, AL 35042-2919 | 2012-03-20 |
1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
1740577717 | Jose I Aunon | Dentist | 6134 Redwood Square Ctr, Suite 202, Centreville, VA 20121-2642 | 2011-06-29 |
1841524568 | Jaewon Yoon | Dentist | 14631 Lee Hwy Ste 116, Centreville, VA 20121-5825 | 2009-09-28 |
1891926697 | Vladyslav Ovcharenko | Dentist | 13880 Braddock Rd Ste 109, Centreville, VA 20121-2460 | 2009-07-28 |
1811154529 | Luong-hung N Le | Dentist | 14637 Lee Hwy Ste 104, Centreville, VA 20121-5830 | 2008-05-20 |
1346433448 | Diego A Morales | Dentist | 5701 Centre Square Dr, Centreville, VA 20120-1916 | 2007-08-22 |
1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
1295802932 | Jim J Soltani | Dentist | 6019 Centreville Crest Ln, Centreville, VA 20121 | 2006-11-29 |
Find all providers in CENTREVILLE |
City | CENTREVILLE |
Zip Code | 62207 |
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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.