DR. PHILLIP GORDON MCINTOSH JR. (NPI# 1992874028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992874028 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP GORDON MCINTOSH JR. |
| Credential | DMD |
| Practice Address |
3101 Breckenridge Ln 1e Louisville KY 40220 |
| Practice Telephone | 5024597302 |
| Practice Fax Number | 5024597922 |
| Mailing Telephone | 5024597302 |
| Mailing Fax Number | 5024597922 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2010-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5469 | KY | Dental Providers |
| Street Address |
3101 BRECKENRIDGE LN 1E |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312066 | Richard A Pape | Dentist | 3101 Breckenridge Ln, Ste 2d, Louisville, KY 40220-2742 | 2005-08-02 |
| 1770728131 | Sonya C Worthington | Nurse Anesthetist, Certified Registered | 3101 Breckenridge Ln, Suite 1a, Louisville, KY 40220-2793 | 2008-12-12 |
| 1811170939 | Anthony Kelty | Nurse Anesthetist, Certified Registered | 3101 Breckenridge Ln, Suite 1a, Louisville, KY 40220-2742 | 2007-12-12 |
| 1790805562 | Mark A Blair | Dentist | 3101 Breckenridge Ln, 1-d, Louisville, KY 40220-2742 | 2007-03-29 |
| 1043336936 | Hershel Weinberg | Dentist | 3101 Breckenridge Ln, Suite 2a, Louisville, KY 40220-2742 | 2007-03-22 |
| 1841315207 | Paul E King, Dmd, Pllc | Clinic/Center | 3101 Breckenridge Ln, Suite 2a, Louisville, KY 40220-2742 | 2007-03-21 |
| 1598898413 | Jennifer Lynn Wright | Dentist | 3101 Breckenridge Ln, Suite 2a, Louisville, KY 40220-2742 | 2007-03-13 |
| 1265567572 | Louisville Internal Medicine & Pediatrics, LLC | Pediatrics | 3101 Breckenridge Ln, #4e, Louisville, KY 40220-2742 | 2007-02-23 |
| 1134288434 | Myron F Shuster, Dmd | Dentist | 3101 Breckenridge Ln, Suite 4b, Louisville, KY 40220-2742 | 2006-12-06 |
| 1679640114 | Myron F Shuster | Dentist | 3101 Breckenridge Ln, Suite 4b, Louisville, KY 40220-2742 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502560 | Louis James Walker IIi | Physical Therapist | 8904 Elks Bluff Drive, Unit 02206, Apt 206, Louisville, KY 40220 | 2020-09-10 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1033686191 | Reine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3405 Breckenridge Lane, Louisville, KY 40220 | 2018-10-26 |
| 1053828145 | Angelique Marie Leist | Registered Nurse | 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 | 2018-01-10 |
| 1811413925 | Virginia Zimlich | Physical Therapist | 2807 Alice Ave, Louisville, KY 40220 | 2017-08-21 |
| 1255860649 | Susan Marie Elder | Registered Nurse | 2816 Esther Blvd, Louisville, KY 40220 | 2017-06-08 |
| 1215300611 | Katie Kipfer | Day Training/Habilitation Specialist | 3902 Graf Drive, Louisville, KY 40220 | 2015-11-06 |
| 1639547987 | Meghan Hillerich | Home Health | 13 Canterbury Drive, Louisville, KY 40220 | 2015-09-03 |
| 1376921098 | Dental Services of Kentucky, Psc | Dentist | 3946 Taylorsville Rd., Louisville, KY 40220 | 2015-05-14 |
| 1093103574 | Joann Bartolone Murphy | Developmental Therapist | 3717 Taylorsville Rd., Louisville, KY 40220 | 2015-01-06 |
| Find all providers in zip 40220 | ||||
| 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 |
|---|---|---|---|---|
| 1548869878 | Miram Shaheen | Dentist | 600 Marshall St Unit 128, Louisville, KY 40202-3618 | 2020-10-19 |
| 1396351243 | Haaken Reed Magnuson | Dentist | 4600 Taylorsville Rd, Louisville, KY 40220-3530 | 2020-09-16 |
| 1629687181 | Joanna Higdon | Dentist | 4122 Shelbyville Rd Ste 103, Louisville, KY 40207-3206 | 2020-07-30 |
| 1386253847 | Hannah Pope | Dentist | 6801 Dixie Hwy Ste 128, Louisville, KY 40258-3940 | 2020-07-29 |
| 1801404256 | William Jacob Brown | Dentist | 335 W South Boulder Rd Ste 4, Louisville, CO 80027-1192 | 2020-07-21 |
| 1144838764 | My Smile Dental Services, Pllc | Dentist | 5014b Preston Hwy, Louisville, KY 40213-2217 | 2020-07-20 |
| 1164068722 | Kentucky On-site Dental Services LLC | Dentist | 307 Longview Park Pl, Louisville, KY 40245-6217 | 2019-11-19 |
| 1700448875 | Elizabeth Anne Riordan | Dentist | 701 Sunnyside Dr, Louisville, KY 40206-2922 | 2019-06-28 |
| 1669031381 | Adam Jatin Parikh | Dentist | 2400 Mellwood Ave Apt 927, Louisville, KY 40206-1066 | 2019-06-06 |
| 1689232175 | Paige Higdon Cogan | Dentist | 1009 Alta Vista Rd, Louisville, KY 40205-1727 | 2019-05-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40220 |
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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.