JOHN ZACHARY MIDDLETON


Address: 231 N Bruns Ln, Bldg C, Springfield, IL 62702-4612
Phone: 2175469097

JOHN ZACHARY MIDDLETON (NPI# 1942605621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942605621
Entity Type Individual
Full Name JOHN ZACHARY MIDDLETON
Credential DMD
Practice Address 231 N Bruns Ln
Bldg C
Springfield
IL 62702-4612
Mailing Address 137 Radio City Dr
Pekin
IL 61554-1569
Practice Telephone 2175469097
Mailing Telephone 3093826404
Enumeration Date 2014-10-24
Last Update Date 2016-01-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019029902 IL Dental Providers

Other Providers JOHN MIDDLETON

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1306829320 John Wayne Middleton Family Medicine 688c Poole Rd, Westminster, MD 21157-6003 2005-11-23
1891852489 John R Middleton Internal Medicine 3 Hospital Plz, Suite 208, Old Bridge, NJ 08857-3093 2007-01-02
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1033226709 John Dario Middleton Social Worker 2215 Burdett Ave, Behavioral Health Dept, Troy, NY 12180-2466 2006-08-25
1265442974 John William Middleton Jr. Nurse Anesthetist, Certified Registered 1 Hospital Drive, Columbia, MO 65212 2006-08-08
1659396687 John D Middleton Specialist 2900 12th Ave N, Suite 320w, Billings, MT 59101-7506 2006-07-12

Office Location

Street Address 231 N BRUNS LN
BLDG C
City SPRINGFIELD
State IL
Zip Code 62702-4612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609261346 Middleton Dental LLC Dentist 231 N Bruns Ln, Building C, Springfield, IL 62702-4612 2015-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1699392308 Mahmood Mahmood Dentist 6811 Meteor Pl Apt 204, Springfield, VA 22150-4518 2020-06-29
1124514807 Myranda Nycole Wolff Dentist 2740 Prairie Crossing Dr, Springfield, IL 62711-7156 2018-07-06
1861987547 Hovhannes Pahlevanyan Dentist 1795 Main St Ste 212, Springfield, MA 01103-1015 2018-06-26
1205329737 Camille Renee Tague Dentist 2305 S Blackman Rd Ste 100, Springfield, MO 65809-2845 2018-06-09
1134611932 George William Vincel Dentist 3259 E Sunshine St Ste Q, Springfield, MO 65804-2143 2018-06-06
1235636531 Duff Family Dental, LLC Dentist 1722 S Glenstone Ave Ste O, Springfield, MO 65804-1513 2018-04-12
1598263345 Santarelli & Feller Dental Group Dentist 1140 Rickard Road, Suite B, Springfield, IL 62704 2018-01-26
1265948699 Brighter Dental Care (springfield) Dentist 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 2017-12-21
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Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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