GLENDA GILL (NPI# 1780155960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780155960 |
| Entity Type | Individual |
| Full Name | GLENDA GILL |
| Practice Address |
4330 Maynardville Hwy Maynardville TN 37807-3618 |
| Mailing Address |
1923 Sulphur Springs Rd Morristown TN 37813-5654 |
| Practice Telephone | 8659923849 |
| Practice Fax Number | 8659925166 |
| Mailing Telephone | 4233179344 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
4330 MAYNARDVILLE HWY |
| City | MAYNARDVILLE |
| State | TN |
| Zip Code | 37807-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894001 | Jeffrey D Greenwood | Psychiatry & Neurology | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2005-07-12 |
| 1518512367 | Melanie Dupree Norman | Developmental Therapist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-08-08 |
| 1699335190 | Chelsey Germaine Keyes | Dental Assistant | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-06-17 |
| 1881166809 | Margaret Stallard | Licensed Practical Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-01-02 |
| 1528539038 | Tanya Hodges | Dental Hygienist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-10 |
| 1649741380 | Brenda Stanley | Nurse's Aide | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-06 |
| 1427528355 | April Dawn Cooke | Registered Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-04 |
| 1548730815 | Amanda Gail Farmer | Nurse's Aide | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-11-29 |
| 1396228136 | Misty Danielle Sexton | Licensed Practical Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-09-07 |
| 1962991893 | Kimberly Renee Wynn | Licensed Practical Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368815 | Ian Carter Mccormick | Pharmacist | 2710 Maynardville Highway, Maynardville, TN 37807 | 2020-08-25 |
| 1053963975 | Maynardville Drug LLC | Pharmacy | 2975 Maynardville Hwy, Maynardville, TN 37807 | 2019-07-11 |
| 1811014533 | Leah Renee Lewis | Specialist/Technologist | 108 Harmon Drive, Maynardville, TN 37807 | 2007-03-26 |
| 1659497394 | Mohammad Bhidya Md PC | Nurse Practitioner | 2595 Maynardville Hwy, Maynardville, TN 37807 | 2007-03-22 |
| 1053350363 | Thomas J Demaro | Emergency Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2006-06-05 |
| 1134504764 | East Tennessee Physical Therapy,llc | Clinic/Center | 4357 Maynardville Hwy, Maynardville, TN 37807 | 2015-07-24 |
| 1447500731 | Julie M Roberts | Pharmacist | 4344 Maynardville Hwy, Maynardville, TN 37807 | 2012-09-13 |
| 1669623898 | Stallion Medical Group P.C. | Family Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2008-10-07 |
| 1952442618 | Lisa D Smallen-lee | Nutritionist | 4335 Maynardville Hwy, Maynardville, TN 37807 | 2007-02-08 |
| 1033279872 | Darrell James Johnson | Chiropractor | 110 Skyline Drive, Maynardville, TN 37807 | 2006-12-11 |
| Find all providers in zip 37807 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699335190 | Chelsey Germaine Keyes | Dental Assistant | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316271638 | Casey Terry | Dental Assistant | 162 Sharp and Perkins Rd, Jacksboro, TN 37757-2507 | 2009-09-21 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| 1285732842 | Sherry D White | Dental Assistant | 165 College St, Savannah, TN 38372-2078 | 2006-09-20 |
| 1083239172 | Heather Marie Tester | Dental Assistant | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2020-06-15 |
| 1376168559 | Nikki Marie Wright | Dental Assistant | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2020-06-12 |
| 1497380828 | Pedro Eliud Rodriguez Lara | Dental Assistant | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2020-03-05 |
| 1538673488 | Kimberly Susan Greene | Dental Assistant | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2017-11-29 |
| 1225488752 | Fonda French | Dental Assistant | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, TN 42223 | 2016-06-15 |
| 1659794154 | Nancy Elizabeth Benitez | Dental Assistant | 2026 Clifton Ave, Nashville, TN 37203-1910 | 2014-02-04 |
| 1841633096 | Candice D Dennis Dalton | Dental Assistant | 2026 Clifton Ave, Nashville, TN 37203-1910 | 2013-04-08 |
| Find all providers with the same taxonomy | ||||
| City | MAYNARDVILLE |
| Zip Code | 37807 |
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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.