CHERRY HILL DENTAL ASSOCIATES INC (NPI# 1942751086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942751086 |
| Entity Type | Organization |
| Organization Name | CHERRY HILL DENTAL ASSOCIATES INC |
| Practice Address |
923 S Country Club Dr Jefferson City MO 65109-0352 |
| Practice Telephone | 5735568500 |
| Mailing Telephone | 5735568500 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | DR. MARY VIRGINIA GADBOIS (OWNER/DENTIST) |
| Authorized Official Telephone | 5734460880 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
2000158124 | MO | Suppliers |
| Y | 122300000X | Dentist | 2000158124 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623504 | Cherry Hill Dental Associates Inc | Clinic/Center | 2012 Cherry Hill Dr, Suite 101, Columbia, MO 65203-5882 | 2005-10-19 |
| Street Address |
923 S COUNTRY CLUB DR |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-0352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| 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 |
|---|---|---|---|---|
| 1467939686 | Elana Marie Schilke | Dentist | 994 Diamond Rdg Ste 200, Jefferson City, MO 65109-6885 | 2018-07-20 |
| 1649622341 | Community Health Ctr of Central Missouri | Dentist | 408 Dix Rd, Jefferson City, MO 65109-1455 | 2016-07-06 |
| 1184931065 | Erick A Jansson | Dentist | 1002 Diamond Rdg Ste 1500, Jefferson City, MO 65109-7914 | 2010-09-13 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1003938234 | Raymond Noel Kalfus | Dentist | 2425 Iven Rd, Jefferson City, MO 65101-5157 | 2007-04-06 |
| 1215099437 | Brian L Henningsen Dds PC | Dentist | 1600 Southwest Blvd # B, Jefferson City, MO 65109-2434 | 2006-12-14 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1457434722 | Tim J Rieke | Dentist | 1312 Southwest Blvd, Jefferson City, MO 65109 | 2006-10-23 |
| 1023115821 | Talva Grundstrom | Dentist | 2022 Williams St, Jefferson City, MO 65109-1186 | 2006-09-20 |
| 1265442107 | Jacky Clay Standlee | Dentist | Westside Dental 994 Diamond Ridge, Ste 202, Jefferson City, MO 65109 | 2006-08-09 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.