CENTRAL MISSISSIPPI OUTREACH, LLC (NPI# 1871915397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871915397 |
Entity Type | Organization |
Organization Name | CENTRAL MISSISSIPPI OUTREACH, LLC |
Practice Address |
2160 D Newman Rd Utica MS 39175-9039 |
Practice Telephone | 6012143041 |
Mailing Telephone | 6012143041 |
Enumeration Date | 2014-01-17 |
Last Update Date | 2014-01-17 |
Authorized Official Name | DR. ROBERT J HAUPTMAN (PARTNER) |
Authorized Official Telephone | 6012143041 |
Authorized Official Credential | D.M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 3581-11 | MS | Dental Providers |
Street Address |
2160 D NEWMAN RD |
City | UTICA |
State | MS |
Zip Code | 39175-9039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174833396 | Martha L Lewis | Dentist | 105 Main Street E, Utica, MS 39175 | 2010-10-21 |
1881628741 | Central Mississippi Civic Improvement Association, Inc. | Clinic/Center | 260 Highway 18, Utica, MS 39175 | 2006-07-10 |
1700813052 | Central Mississippi Civic Improvement Association, Inc | Clinic/Center | 129 White Oak St, Utica, MS 39175-8803 | 2006-06-26 |
1609173533 | Luretha Kelly Burns | Social Worker | 1241 Lebanon Pinegrove Rd, Utica, MS 39175-9018 | 2011-02-11 |
1861424145 | Central Mississippi Civic Imrovement Association | Clinic/Center | 6608 Highway 27, Utica, MS 39175-9226 | 2006-07-07 |
1912192238 | Charles L Gammel | Audiologist | 6608 Highway 27, Utica, MS 39175-9226 | 2007-09-10 |
1225489487 | Divinity Advantage Personal Care | Home Health | 2387 Worrell Rd, Utica, MS 39175-9302 | 2016-06-28 |
1215263033 | Alicia Ann Rials | Physical Therapist | 6077 Highway 18, Utica, MS 39175-9341 | 2009-10-29 |
1629150222 | Sharon Kay Banks | Occupational Therapist | 1308 Barlow Dr, Utica, MS 39175-9423 | 2006-10-20 |
1104079870 | Honor Therapy Services, LLC | Clinic/Center | 1308 Barlow Dr, Utica, MS 39175-9423 | 2008-10-28 |
Find all providers in zip 39175 |
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 |
---|---|---|---|---|
1750858478 | Thomas Michael Fredal Jr. | Dentist | 45428 Van Dyke Ave, Utica, MI 48317-5676 | 2018-10-31 |
1265967483 | Rami Koro | Dentist | 2937 N State Route 178, Utica, IL 61373-9011 | 2017-04-25 |
1821545385 | Shashi Naresh Shah | Dentist | 2937 N Il-178, Utica, IL 61373 | 2016-09-01 |
1174833396 | Martha L Lewis | Dentist | 105 Main Street E, Utica, MS 39175 | 2010-10-21 |
1154641652 | Jenny Huang Le | Dentist | 1625 Genesee St, Utica, NY 13501-4732 | 2010-06-07 |
1972821056 | Frederick S. Brady Sr. | Dentist | 2313 Genesse St., Utica, NY 13501 | 2010-05-13 |
1538307301 | Anthony Joseph Falcone | Dentist | 1213 Pleasant St, Utica, NY 13501-5806 | 2009-02-01 |
1205002474 | Christie Ann-rosenberry Damm | Dentist | 45569 Van Dyke, Utica, MI 48317 | 2008-05-07 |
1538342191 | Keena Brittingham | Dentist | 224 N Genesee St, Utica, NY 13502-2529 | 2007-12-06 |
1487847661 | Gordon James Ruff | Dentist | 2058 Genesee St, Utica, NY 13502 | 2007-08-22 |
Find all providers in UTICA |
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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.