DR. OLIVIA COURTNEY STOVALL-WILSON (NPI# 1700100302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700100302 |
| Entity Type | Individual |
| Full Name | DR. OLIVIA COURTNEY STOVALL-WILSON |
| Credential | DDS |
| Practice Address |
1301 Peachers Mill Rd Clarksville TN 37042-4610 |
| Mailing Address |
1104 Kennesaw Blvd Gallatin TN 37066-6062 |
| Practice Telephone | 9315729152 |
| Mailing Telephone | 6159734004 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9039 | TN | Dental Providers |
| Street Address |
1301 PEACHERS MILL RD |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124000245 | Ernest Mac Edington Jr. | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2005-11-15 |
| 1609396308 | Brooke Ashley Mcvey | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2017-06-23 |
| 1871976118 | Juan Omar Mancera | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2015-07-06 |
| 1225477482 | Britney Dawn Taylor | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2013-06-21 |
| 1497066237 | Crystal Dawn Manners | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2010-06-26 |
| 1093864605 | Carol J Montee | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2007-01-10 |
| 1689722134 | Steven R Newman | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2007-01-08 |
| 1780743476 | Kanika L. Davila | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2006-12-08 |
| 1043388713 | Clarksville Dental Center, Pllc | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2006-12-01 |
| 1265415996 | Ernest James Dewald | Dentist | 1301 Peachers Mill Rd, Clarksville, TN 37042-4610 | 2005-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| Find all providers in zip 37042 | ||||
| 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 |
|---|---|---|---|---|
| 1013553916 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 2766 Wilma Rudolph Blvd Ste A2, Clarksville, TN 37040-5810 | 2019-11-26 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1659732980 | George A Bare Jr Dmd Pllc | Dentist | 237 Dunbar Cave Rd, Suite A, Clarksville, TN 37043-8852 | 2016-03-15 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1639564628 | Hower Dental Pllc | Dentist | 1011 Highway 76 Ste B, Clarksville, TN 37043-2531 | 2015-04-06 |
| 1659774040 | Tennessee Dental Professionals PC | Dentist | 2207 Lowes Dr W Ste A, Clarksville, TN 37040-6964 | 2014-09-30 |
| 1528494432 | Jeffrey Trembley | Dentist | 1502 Tiny Town Rd, Suite A, Clarksville, TN 37042 | 2013-09-24 |
| 1407281868 | Mortenson Family Dental Center- Clarksville | Dentist | 1240 Veterans Pkwy, Suite 100, Clarksville, IN 47129-2394 | 2013-09-04 |
| 1184911539 | Nina Ferrell Biggs | Dentist | 2289 Rudolphtown Road, Suite A, Clarksville, TN 37043 | 2011-07-06 |
| 1891085775 | Cdp LLC | Dentist | 513 E Lewis and Clark Pkwy, Clarksville, IN 47129-1729 | 2011-04-13 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
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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.