DR. JACOB REUBEN DUBROW (NPI# 1952383283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952383283 |
Entity Type | Individual |
Full Name | DR. JACOB REUBEN DUBROW |
Other Name | DR. J REUBEN DUBROW |
Credential | DDS |
Practice Address |
4610 Brainerd Rd Chattanooga TN 37411-3835 |
Practice Telephone | 4236988589 |
Practice Fax Number | 4236988580 |
Mailing Telephone | 4236988589 |
Mailing Fax Number | 4236988580 |
Enumeration Date | 2005-11-14 |
Last Update Date | 2011-07-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS650 | TN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000045625A | 05 | |
TN | 4440 | 05 | |
BLUE CROSS BLUE SHIELD TN | 2008311 | 01 |
Street Address |
4610 BRAINERD RD |
City | CHATTANOOGA |
State | TN |
Zip Code | 37411-3835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891000154 | Kenneth C Dyer Iv | Dentist | 4610 Brainerd Rd, Suite 3, Chattanooga, TN 37411-3835 | 2010-08-11 |
1437223849 | Jeril Ransom Cooper Iv | Dentist | 4610 Brainerd Rd, Suite 3, Chattanooga, TN 37411-3836 | 2006-11-17 |
1144303512 | Charles Samuel Fussell Sr. | Dentist | 4610 Brainerd Rd, Chattanooga, TN 37411-3835 | 2006-10-21 |
1902889975 | Dewayne B Mccamish | Dentist | 4610 Brainerd Rd, Suite 3, Chattanooga, TN 37411-3835 | 2005-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
Find all providers in zip 37411 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265087969 | Adventure Pediatric Dentistry, Pllc | Dentist | 6413 Lee Hwy Ste 119, Chattanooga, TN 37421-4861 | 2019-08-08 |
1275083552 | Bw Pediatric Dentistry Pllc | Dentist | 301 Manufacturers Rd, Suite 207c, Chattanooga, TN 37405-3299 | 2016-10-10 |
1629077094 | Sidney Timothy Cox Jr. | Dentist | 6988 E Brainerd Rd, Chattanooga, TN 37421-3834 | 2005-07-19 |
1104286566 | Colton Popp | Dentist | 4211 Hixson Pike, Chattanooga, TN 37415-3113 | 2016-02-29 |
1528451309 | Neha Shah | Dentist | 6988 E Brainerd Rd, Chattanooga, TN 37421-3834 | 2015-03-18 |
1770743601 | Children's Dentistry of Chattanooga, Pllc | Dentist | 1720 Gunbarrel Rd, Suite 310, Chattanooga, TN 37421-3192 | 2008-06-13 |
1063539393 | L. Samuelgill, Jr., D.d.s., M.s., P.C. | Dentist | 105 Lee Parkway Dr, Suite B, Chattanooga, TN 37421-6708 | 2007-03-23 |
1003932674 | Lester Samuel Gill Jr. | Dentist | 105 Lee Parkway Dr, Suite B, Chattanooga, TN 37421-6708 | 2007-03-22 |
1871661900 | Clay Paul Goins | Dentist | 1720 Gunbarrel Rd, Suite 310, Chattanooga, TN 37421-3192 | 2006-11-30 |
1043320856 | Fred Chatles Whitmire Jr. | Dentist | 102 Walnut St, Suite D, Chattanooga, TN 37403-1121 | 2006-08-30 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37411 |
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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.