HUMANA DENTAL CORPORATION (NPI# 1962558403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962558403 |
| Entity Type | Organization |
| Organization Name | HUMANA DENTAL CORPORATION |
| Practice Address |
4801 Cuba Millington Rd Millington TN 38053-5401 |
| Mailing Address |
Po Box 1415 Greenwood AR 72936-1415 |
| Practice Telephone | 3186178665 |
| Practice Fax Number | 4792526029 |
| Mailing Telephone | 3186178665 |
| Mailing Fax Number | 4792526029 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-02-21 |
| Authorized Official Name | STEVE R ALEXANDER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3186178665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
4801 CUBA MILLINGTON RD |
| City | MILLINGTON |
| State | TN |
| Zip Code | 38053-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730235268 | Angela Marascalco Skidmore | Dentist | 4801 Cuba Millington Rd, Millington, TN 38053-5401 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| 1801457676 | Cale Porter Alexander | Physical Therapist | 8586 Highway 51 North, Millington, TN 38053 | 2019-06-24 |
| 1477957660 | Community Chiropractic | Chiropractor | 8110 Hwy 51 North, Suite 2, Millington, TN 38053 | 2014-10-16 |
| 1861739344 | Lydia A Sharpe | Pharmacist | 8039 Highway 51 North, Millington, TN 38053 | 2013-01-03 |
| 1063666261 | Phylliss Lamora Flowers | Nurse Practitioner | 7889 Astoria Rd, Millington, TN 38053 | 2008-11-14 |
| 1649447871 | William David Algea | Pediatrics | 8081 Highway 51 North, Millington, TN 38053 | 2008-05-15 |
| 1306051248 | Leader Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 8253 Highway 51 North, Suite 102, Millington, TN 38053 | 2007-05-14 |
| 1750406658 | Tammy E. Keough | Nurse Practitioner | 7889 Astoria, Millington, TN 38053 | 2007-03-20 |
| 1760516017 | West Tennessee Eye, Plc | Optometrist | 8120 Hwy 51n, Ste 7, Millington, TN 38053 | 2007-03-16 |
| 1932258787 | Mid South Wellness Center, Inc | Family Medicine | 7662 Highway 51north, Suite 2, Millington, TN 38053 | 2007-01-10 |
| Find all providers in zip 38053 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890136 | Sarah Hartlerode | Dentist | 5915 N Watkins Rd, Millington, TN 38053-6936 | 2020-07-31 |
| 1720566714 | Cheryl A Bird | Dentist | 8544 Us Highway 51 N Ste 103, Millington, TN 38053-1515 | 2018-08-01 |
| 1962751149 | Megan Nicole Seay Shelton | Dentist | 5722 Integrity Drive Building S-771, Millington, TN 38054 | 2012-09-05 |
| 1417102492 | Donald Quinn | Dentist | 4696 Main St, Millington, MI 48746-9056 | 2008-11-18 |
| 1205004934 | Peter Y Wai | Dentist | 7799 Church St, Millington, TN 38053-2433 | 2008-02-15 |
| 1336365592 | Timothy Patrick Carney | Dentist | 4780 Industrial Dr, Millington, MI 48746-9342 | 2007-04-17 |
| 1427079904 | Janet Alicia Black | Dentist | 8127 Hwy 51 N, Millington, TN 38053-0753 | 2006-07-21 |
| 1720029812 | Kevin Duke Reed | Dentist | 8020 Us Highway 51 N, Millington, TN 38053-1732 | 2006-06-09 |
| 1326014689 | Robert Edward Caldwell | Dentist | 8232 Us Highway 51 N, Millington, TN 38053-1708 | 2006-02-27 |
| 1467974667 | Matthew Reed | Dentist | 8020 Us Highway 51 N, Millington, TN 38053-1732 | 2017-07-10 |
| Find all providers in MILLINGTON | ||||
| City | MILLINGTON |
| Zip Code | 38053 |
Please comment or provide details below to improve the information on HUMANA DENTAL CORPORATION.
| 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.