DR. TARA T HACKNEY (NPI# 1710953765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710953765 |
| Entity Type | Individual |
| Full Name | DR. TARA T HACKNEY |
| Credential | DMD |
| Practice Address |
480 W Lowder St Macclenny FL 32063-2664 |
| Practice Telephone | 9042596291 |
| Practice Fax Number | 9042594761 |
| Mailing Telephone | 9042596291 |
| Mailing Fax Number | 9042594761 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2013-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN11888 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 071984601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235558248 | Tara Hackney | Physical Therapist | 3720 Queen Ct Sw Ste I, Cedar Rapids, IA 52404-4735 | 2014-04-08 |
| Street Address |
480 W LOWDER ST |
| City | MACCLENNY |
| State | FL |
| Zip Code | 32063-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669446357 | Whitney Ruth Taylor | Dental Hygienist | 480 W Lowder St, Macclenny, FL 32063 | 2006-02-17 |
| 1356811962 | Melody Miller Waites | Nurse Practitioner | 480 W Lowder St, Macclenny, FL 32063-2664 | 2018-11-27 |
| 1386113892 | Delaney Helms | Dental Hygienist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2018-11-14 |
| 1255688933 | Kelli K Kanemaru-takeuchi | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2012-08-13 |
| 1508140484 | Stephanie Melinda Crawford | Nurse Practitioner | 480 W Lowder St, Macclenny, FL 32063-2664 | 2011-10-10 |
| 1336469832 | Alanna D Eubanks | Dietitian, Registered | 480 W Lowder St, Macclenny, FL 32063-2664 | 2010-06-07 |
| 1245477181 | Rachel Mcmahan Thomas | Registered Nurse | 480 W Lowder St, Macclenny, FL 32063-2664 | 2009-01-14 |
| 1992993281 | Deborah L Griggs | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-10-11 |
| 1104961689 | Mary Robinson | Family Medicine | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-02-21 |
| 1215078506 | Phillip Wayne Steen | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1285175091 | Katie Rourke | Massage Therapist | 6068 -1 Larimer Rd, Macclenny, FL 32063 | 2017-03-13 |
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| 1992879886 | Baker County Schools | Local Education Agency (LEA) | 290 Jonathan St E, Macclenny, FL 32063 | 2006-11-20 |
| 1306918271 | Baker County School Board | Local Education Agency (LEA) | 290 Jonathan Street East, Macclenny, FL 32063 | 2006-11-15 |
| 1780760967 | Patricia Ann Sova | Pharmacist | 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 | 2006-10-31 |
| 1447347992 | Annie Clara Widemond | Pharmacy Technician | 1436 State Road 121 South, Macclenny, FL 32063 | 2006-10-06 |
| 1003900713 | Luna S. Iskander | Psychiatry & Neurology | 7487 South State Road 121, Macclenny, FL 32063 | 2006-10-03 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1245323492 | Raynors Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 | 2006-10-02 |
| Find all providers in zip 32063 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
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|---|---|---|---|---|
| 1326655408 | Bedside Dental Services | Dentist | 15654 Sw 14th St, Miami, FL 33194-2627 | 2020-09-23 |
| 1609417815 | Arthur Farlow Burt | Dentist | 7655 W Gulf To Lake Hwy Ste 8, Crystal River, FL 34429-7910 | 2019-09-30 |
| 1518422294 | Brittany Fennell | Dentist | 13201 New Berlin Rd, Jacksonville, FL 32226 | 2019-02-06 |
| 1760954408 | Bright Smiles Dental Studio,pa Dba | Dentist | 730 Goodlette Rd N Ste 206, Naples, FL 34102-5618 | 2018-12-19 |
| 1730650839 | Smile Family Dental Group LLC | Dentist | 1900 Coral Way Ste 200, Coral Gables, FL 33145-2661 | 2018-12-16 |
| 1740779735 | Complete Family Dentistry, LLC | Dentist | 3015 Bayview Drive Suite B, Fort Lauderdale, FL 33306 | 2018-05-04 |
| 1255705273 | Theoral Health Institute | Dentist | 910 Sw 15th St, Deerfield Beach, FL 33441-6222 | 2015-11-16 |
| 1861802738 | Anette Betaneor, Dds, Pa | Dentist | 8372 Sw 40 St, Miami, FL 33155 | 2014-05-01 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| 1942556337 | Avalondental Group | Dentist | 12950 E Colonial Dr Ste 124, Orlando, FL 32826-4609 | 2012-08-03 |
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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.