WIILLIAM A. PATCHAK D.D.S. P.C. (NPI# 1942384292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942384292 |
| Entity Type | Organization |
| Organization Name | WIILLIAM A. PATCHAK D.D.S. P.C. |
| Practice Address |
306 W Washington Ave Suite 105 Jackson MI 49201-2169 |
| Practice Telephone | 5177888340 |
| Practice Fax Number | 5177888343 |
| Mailing Telephone | 5177888340 |
| Mailing Fax Number | 5177888343 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM ALLAN PATCHAK (PRESIDENT) |
| Authorized Official Telephone | 5177888340 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901011397 | MI | Dental Providers |
| Street Address |
306 W WASHINGTON AVE SUITE 105 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588654206 | Jeffrey D Hurst | Dentist | 306 W Washington Ave, Suite 201, Jackson, MI 49201-2169 | 2005-10-25 |
| 1194967844 | Glenn Richard Watterson | Dentist | 306 W Washington Ave, Suite 204, Jackson, MI 49201-2169 | 2009-03-26 |
| 1316110984 | Padbury and Padbury, D.d.s, M.s., P.C. | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2008-04-03 |
| 1194930503 | Allan Dale Padbury Jr. | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2007-05-11 |
| 1023223336 | Allan Dale Padbury | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2007-05-11 |
| 1730300377 | James P. Serino, O.d. P.C. | Optometrist | 306 W Washington Ave, Suite 104, Jackson, MI 49201-2169 | 2007-05-01 |
| 1124162185 | William Allan Patchak | Dentist | 306 W Washington Ave, Suite 105, Jackson, MI 49201-2169 | 2007-02-16 |
| 1447398615 | Stuart F Holmes | Dentist | 306 W Washington Ave, Ste 203, Jackson, MI 49201-2169 | 2007-02-01 |
| 1376632737 | Frederic B. Slete | Dentist | 306 W Washington Ave, Suite 205, Jackson, MI 49201-2169 | 2006-10-12 |
| 1740379015 | Frederic B Slete D.d.s.,pc | Dentist | 306 W Washington Ave, Suite 205, Jackson, MI 49201-2169 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277291 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 310 W Woodrow Wilson Ave Ste 400, Jackson, MS 39213-7697 | 2020-02-19 |
| 1467771386 | Eric Richard Buchner | Dentist | 190 Murray Guard Dr, Jackson, TN 38305-3609 | 2010-05-18 |
| 1962653592 | David F Elliott | Dentist | 10 S New Prospect Rd, Suite 23, Jackson, NJ 08527-1645 | 2008-10-01 |
| 1194904094 | Bierdeman Othodontics Pa | Dentist | 2680 River Ridge Road, Jackson, MS 39216-5018 | 2007-10-26 |
| 1366631335 | Stephen E Owens Jr. | Dentist | 1130 S Hwy 89, Jackson, WY 83001 | 2007-10-16 |
| 1770771495 | Shannon Edward Owens | Dentist | 1130 South Hwy 89, Jackson, WY 83001-0628 | 2007-10-09 |
| 1407040686 | James Ray Hight Jr. | Dentist | 101 Max Lane Drive, Jackson, TN 38305 | 2007-08-30 |
| 1821293820 | Kevin J Robinson | Dentist | 77 Northfork Cv, Jackson, TN 38305-7903 | 2007-06-19 |
| 1295937498 | Dr. Louis B. Guy, Jr.,dds, Mspa | Dentist | 247 Highland Village, Jackson, MS 39211 | 2007-06-01 |
| 1134349160 | Lloyd B. Wolfe Jr. | Dentist | 406 Briarwood Dr Ste 102, Jackson, MS 39206-3059 | 2007-05-01 |
| Find all providers in JACKSON | ||||
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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.