CHILDRENS DENTAL CLINIC OF JONESBORO (NPI# 1013479104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013479104 |
| Entity Type | Organization |
| Organization Name | CHILDRENS DENTAL CLINIC OF JONESBORO |
| Practice Address |
217 E Cherry Ave Jonesboro AR 72401-3372 |
| Practice Telephone | 8708972489 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | LAUREN LEE (OFFICE MANAGER) |
| Authorized Official Telephone | 8708979465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922560259 | Childrens Dental Clinic of Jonesboro | Clinic/Center | 160 Greene 721 Rd Ste 3, Paragould, AR 72450-8995 | 2019-04-04 |
| 1942762273 | Childrens Dental Clinic of Jonesboro | Clinic/Center | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2019-04-04 |
| Street Address |
217 E CHERRY AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326237082 | Julie Adkins LLC | Speech-Language Pathologist | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2007-10-18 |
| 1942762273 | Childrens Dental Clinic of Jonesboro | Clinic/Center | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2019-04-04 |
| 1386108363 | Sarah Elizabeth Johnson | Occupational Therapist | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2019-01-24 |
| 1528530870 | Taylor Lynn Bowen | Occupational Therapy Assistant | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2018-12-27 |
| 1669868899 | Amanda Jeter | Occupational Therapy Assistant | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2015-04-14 |
| 1033477989 | Kristen Kaye Thielemier | Speech-Language Pathologist | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2012-04-29 |
| 1255567764 | Sarah Gillmore | Physical Therapy Assistant | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2009-06-10 |
| 1518193341 | Denita Scott Stillwell | Speech-Language Pathologist | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2009-06-08 |
| 1306096763 | Rizza Mae Caballes | Occupational Therapist | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2008-09-23 |
| 1154501377 | Tisha Gay Pierce | Speech-Language Pathologist | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2007-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982258968 | Smile Wit Confident, LLC | Clinic/Center | 6465 Tara Blvd, Jonesboro, GA 30236-1214 | 2019-07-29 |
| 1164980140 | Kaleb E Harp Dds Pllc | Clinic/Center | 900 Southwest Dr Ste D, Jonesboro, AR 72401-7077 | 2019-03-08 |
| 1942762273 | Childrens Dental Clinic of Jonesboro | Clinic/Center | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2019-04-04 |
| 1346510591 | James B Phillips, Ms, Dds, Pa | Clinic/Center | 2609 Browns Ln, Jonesboro, AR 72401-7227 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557539 | David M Robbins Dds | Clinic/Center | 241 Hobson Ave, Hot Springs, AR 71913-3724 | 2020-10-28 |
| 1710585856 | Frank A Brooks IIi Dds Pa | Clinic/Center | 2102 First National Dr, Harrison, AR 72601-6234 | 2020-10-12 |
| 1902412018 | Cave Springs Dental | Clinic/Center | 260 S Gleneagle Dr Ste C, Cave Springs, AR 72718-6011 | 2020-09-23 |
| 1134733876 | Bradley R Crossfield Dds Pllc | Clinic/Center | 880 East Centerton Blvd, Suite A, Centerton, AR 72719 | 2020-09-01 |
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1962012385 | Cynthia Landry Dds | Clinic/Center | 446 Miles St, Lepanto, AR 72354-2618 | 2020-08-01 |
| 1548878077 | Douglas M. Matthews,d.d.s.,p.a. | Clinic/Center | 350 E College St, Batesville, AR 72501-5624 | 2020-07-21 |
| 1407473481 | Simon Family Dentistry | Clinic/Center | 191 Highway 64 E, Alma, AR 72921-3306 | 2020-06-25 |
| 1912529504 | Dover Dental D.d.s., P.a. Dba Dover Family Dentistry | Clinic/Center | 400 S College St Ste 4, Mountain Home, AR 72653-3991 | 2020-05-18 |
| 1548881550 | Christi Weaver Shepard Dds, Pa | Clinic/Center | 4200 N Rodney Parham Rd Ste 200, Little Rock, AR 72212-2460 | 2020-04-30 |
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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.