JEFFERSON COMPREHENSIVE CARE SYSTEM INC


Address: 1101 Tennessee St, Pine Bluff, AR 71601-5801
Phone: 8705432341

JEFFERSON COMPREHENSIVE CARE SYSTEM INC (NPI# 1023277746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023277746
Entity Type Organization
Organization Name JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Other Organization Name DENTAL CLINIC
Practice Address 1101 Tennessee St
Pine Bluff
AR 71601-5801
Mailing Address Po Box 1285
Pine Bluff
AR 71613-1285
Practice Telephone 8705432341
Practice Fax Number 8705354716
Mailing Telephone 8705432341
Mailing Fax Number 8705354716
Enumeration Date 2008-06-06
Last Update Date 2008-06-06
Authorized Official Name MR. LARNELL W DAVIS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8705432380
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR 102953631 05

Other Provider/Organization Names

Other Name Type Code
Dental Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053571711 Jefferson Comprehensive Care System Inc Clinic/Center 1101 Tennssee, Pine Bluff, AR 71601 2008-06-16
1396904017 Jefferson Comprehensive Care System Inc Clinic/Center 1101 Tennessee St, Pine Bluff, AR 71601-5801 2008-06-06

Office Location

Street Address 1101 TENNESSEE ST
City PINE BLUFF
State AR
Zip Code 71601-5801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154386597 Jefferson Comprehensive Care System, Inc Clinic/Center 1101 Tennessee St, Pine Bluff, AR 71601-5801 2006-04-19
1396904017 Jefferson Comprehensive Care System Inc Clinic/Center 1101 Tennessee St, Pine Bluff, AR 71601-5801 2008-06-06
1477766111 Roosevelt Brown Dentist 1101 Tennessee St, Pine Bluff, AR 71601 2007-05-08
1184680746 Margaret Ann Washington Family Medicine 1101 Tennessee St, Pine Bluff, AR 71601-5801 2006-04-24
1700842614 Paul L Smith Pediatrics 1101 Tennessee St, Pine Bluff, AR 71601-5801 2006-04-21
1083670830 Manuel R Kelley Family Medicine 1101 Tennessee St, Pine Bluff, AR 71601-5801 2006-04-21
1861457988 Rose A Pace Family Medicine 1101 Tennessee St, Pine Bluff, AR 71601-5801 2006-04-20
1992760029 Estelita M Quimosing Internal Medicine 1101 Tennessee St, Pine Bluff, AR 71601-5801 2006-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578162863 Kb's Adult Health Day Care Center Clinic/Center 2911 South Market Street, Pine Bluff, AR 71601 2020-10-19
1184244600 Chelsea Briggs Prosthetic/Orthotic Supplier 601 S Main St Apt 514, Pine Bluff, AR 71601 2020-04-24
1407489081 Katherine Bolden Clinic/Center 2911 East Market Street, Pine Bluff, AR 71601 2020-02-21
1851836829 Rocky Mountain Holdings, LLC Ambulance 613b Hangar Row, Pine Bluff, AR 71601 2016-12-30
1316324494 Nora Elizabeth Horton Specialist/Technologist 2003 University Drive, Suite 2, Pine Bluff, Ar, AR 71601 2015-04-28
1780003665 Sameer R. Shelat Internal Medicine 4125, Rhinehart Road, Pine Bluff, AR 71601 2014-04-08
1700150471 Community Empowerment Council, Inc. Social Worker 5830 Hwy 65 South, Pine Bluff, AR 71601 2012-02-28
1922243807 The Pine Bluff Group, Pllc Chiropractor 2102 S. Olive St., Pine Bluff, AR 71601 2008-12-08
1053571711 Jefferson Comprehensive Care System Inc Clinic/Center 1101 Tennssee, Pine Bluff, AR 71601 2008-06-16
1144404799 The P.a.t. (people Advocating Transition) Center Counselor 620 South Laurel, Pine Bluff, AR 71601 2007-12-18
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457805376 Brent Herring Dentist 3721 S Olive St Ste B, Pine Bluff, AR 71603-6756 2016-08-09
1588927941 David Keith Jones Dentist 1301 Ridgway Rd Ste 2b, Pine Bluff, AR 71603-7608 2012-06-20
1457645863 Clifton G Roaf & Marvin Q Caudle Dentist 1310 South Linden Street, Pine Bluff, AR 71603 2011-06-02
1639396807 Drew William Toole Dentist 4100 W 28th Ave, Pine Bluff, AR 71603-4726 2007-04-19
1467559971 Marvin Quincy Caudle Dentist 1310 South Linden St, Pine Bluff, AR 71603 2006-09-19
1881700995 Joel F. Foster Dentist 1400 W 42nd Ave, Pine Bluff, AR 71603-7003 2006-08-22
1013576933 Garrett Taylor, Dds, Pa Dentist 3801 S Olive St, Pine Bluff, AR 71603 2019-06-13
1841762200 Abdullah Sufian Elassouli Dentist 1400 W 42nd Ave, Pine Bluff, AR 71603-7003 2018-12-26
1013490218 John Philip Mckenzie Davis Dentist 4100 W 28th Ave, Pine Bluff, AR 71603-4726 2018-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235743352 Varsha Patel Dentist 130 Harkrider St, Conway, AR 72032-6623 2020-09-04
1174132914 John S Teed Dentist 800 Vista Cv, Marion, AR 72364-9704 2020-07-28
1891303509 Brandt Thomas Cooper Dentist 1685 Airport Rd, Hot Springs, AR 71913-7951 2020-07-20
1174141667 Anslee Latourette Dentist 8239 Rogers Ave, Fort Smith, AR 72903-5553 2020-07-10
1073139960 Leona C. Kemper, Dds, Pa Dentist 6189 Heber Springs Rd West, Quitman, AR 72131 2020-06-17
1225652670 David Barry Riggs Dentist 800 Locust Ave, Conway, AR 72034-5331 2020-06-02
1497378137 Evgeny Titov Dentist 2501 Market Trce Ste A, Fort Smith, AR 72908-8881 2020-05-28
1306469382 Phipps Family Dentistry Dentist 807 W Centerton Blvd, Centerton, AR 72719-9705 2020-05-25
1831711910 Brian Lane D D S Pa Dentist 17 Eagle Park Dr, Vilonia, AR 72173-9050 2020-05-12
1215557897 Wh Ar Dental Pllc Dentist 4870 Elm Springs Rd Ste B, Springdale, AR 72762-3749 2020-04-23
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Competitor

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City PINE BLUFF
Zip Code 71601

Improve Information

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Dataset Information

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.

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