LARRY DOUGLAS SHEETRUM (NPI# 1003087362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003087362 |
| Entity Type | Individual |
| Full Name | LARRY DOUGLAS SHEETRUM |
| Credential | DDS |
| Practice Address |
623 N 9th St Augusta AR 72006-2129 |
| Practice Telephone | 8703473300 |
| Practice Fax Number | 8703473492 |
| Mailing Telephone | 8703473300 |
| Mailing Fax Number | 8703473492 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2307 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 167415608 | 05 |
| Street Address |
623 N 9TH ST |
| City | AUGUSTA |
| State | AR |
| Zip Code | 72006-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558303032 | Ryan Clinton Shearer | Dentist | 623 N 9th St, Augusta, AR 72006-2129 | 2006-06-11 |
| 1396393773 | Jennifer Dewitt | Registered Nurse | 623 N 9th St, Augusta, AR 72006-2129 | 2019-08-29 |
| 1801296678 | Alternative Oppurtunities | Community/Behavioral Health | 623 N 9th St, Augusta, AR 72006-2129 | 2014-08-29 |
| 1982840708 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 623 N 9th St, Augusta, AR 72006-2129 | 2008-12-29 |
| 1982856225 | Karen S Cox | Dental Hygienist | 623 N 9th St, Augusta, AR 72006-2129 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861530362 | Wallace Jean Trice | Case Manager/Care Coordinator | 64 East Hwy, Augusta, AR 72006 | 2007-02-05 |
| 1275635542 | Arcare | Clinic/Center | 117 S 2nd St, Augusta, AR 72006 | 2006-09-05 |
| 1013928381 | Audra M Hamilton | Dental Hygienist | 623 N 9th Street, Augusta, AR 72006 | 2006-08-11 |
| 1013932714 | Steven F Collier Md Pa | Family Medicine | 106 South 2nd Street, Augusta, AR 72006 | 2006-07-13 |
| 1558396119 | Steve D Chason | Dentist | 216 S Second St, Augusta, AR 72006 | 2006-07-12 |
| 1790718906 | Jesse D Moore Md | Family Medicine | Highway 64 East, Augusta, AR 72006 | 2006-07-09 |
| 1053553024 | Jaime L Whitehead | Nurse Practitioner | 800 Main St, Augusta, AR 72006 | 2009-04-06 |
| 1023170305 | Katina Briscoe | Nurse Practitioner | 400 Highway 64 E, Augusta, AR 72006 | 2006-12-14 |
| 1578640785 | Doris R Wright | Pharmacy Technician | 111 Main Street, Cotton Plant, AR 72006 | 2006-11-01 |
| 1538268081 | Jaymie Frances Hopkins | Counselor | 623 N 9th Street, Augusta, AR 72006 | 2006-09-21 |
| Find all providers in zip 72006 | ||||
| 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 |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1730633959 | Carol A. Patel | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2016-08-04 |
| 1477938629 | Alie Kraft | Dentist | 1430 John Wesley Gilbert Dr Augusta University, Augusta, GA 30912-5660 | 2015-07-29 |
| 1982013116 | Jeffrey Steed | Dentist | Dental College of Georgia 1430 John Wesley Gilbert Dr, Augusta, GA 30912 | 2014-08-13 |
| 1619380144 | Nicole Anne Hasenfus | Dentist | 169 Water St, Augusta, ME 04330-4607 | 2014-06-02 |
| 1275898900 | Dyess Parkway Dental, LLC | Dentist | 4045 Jimmie Dyess Pkwy Ste 103, Augusta, GA 30909-9492 | 2012-07-09 |
| 1578862777 | Jonathan L Bullard | Dentist | 3702 Washington Rd., Augusta, GA 30907-2848 | 2011-03-28 |
| 1811205040 | Jason Hamel | Dentist | 94 Western Ave Ste 1, Augusta, ME 04330-7269 | 2010-09-22 |
| 1659686806 | Alan F Myers | Dentist | 1014 Northwood Rd, Suite A, Augusta, GA 30909-2312 | 2010-08-12 |
| Find all providers in AUGUSTA | ||||
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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.