DR. TYLER KELLUM LEVIE (NPI# 1023484805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023484805 |
| Entity Type | Individual |
| Full Name | DR. TYLER KELLUM LEVIE |
| Credential | D.D.S. |
| Practice Address |
201 E. Villanow Street Lafayette GA 30728 |
| Practice Telephone | 7066382784 |
| Practice Fax Number | 7066387428 |
| Mailing Telephone | 7066382784 |
| Mailing Fax Number | 7066387428 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN015053 | GA | Dental Providers |
| Street Address |
201 E. VILLANOW STREET |
| City | LAFAYETTE |
| State | GA |
| Zip Code | 30728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1891358750 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 311 North Main Street, Lafayette, GA 30728 | 2019-04-17 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1083987481 | Krishawna Elaine Montgomery | Counselor | 501 Mize Street Lookout Mountain Community Services, Lafayette, GA 30728 | 2012-02-15 |
| 1346518198 | William Randall Smith | Behavioral Analyst | 902 Daugherty Street, Lafayette, GA 30728 | 2011-12-08 |
| 1821321506 | John H Rockwell | Contractor | 143 Golden Oaks Dr, La Fayette, GA 30728 | 2009-09-11 |
| 1619113057 | Lookout Mountain Community Services | Community/Behavioral Health | 43 Shady Court, Lafayette, GA 30728 | 2009-01-06 |
| 1326212705 | Lookout Mountain Community Services | Community/Behavioral Health | 1218 Chattanooga St., Lafayette, GA 30728 | 2008-04-17 |
| 1649444084 | Lookout Mountain Community Services | Community/Behavioral Health | 29 Mae Tucker Rd., Lafayette, GA 30728 | 2008-04-16 |
| 1730353178 | Lookout Mountain Community Service | Community/Behavioral Health | 322 New Hope Road, Lafayette, GA 30728 | 2008-04-16 |
| Find all providers in zip 30728 | ||||
| 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 |
|---|---|---|---|---|
| 1801410931 | Briana Michelle Maddox | Dentist | 35 S Creasy Ln Ste 3, Lafayette, IN 47905-5254 | 2020-06-04 |
| 1366004186 | Hunter Brooks | Dentist | 107 Suwanee Rd, Lafayette, LA 70503-6111 | 2019-07-01 |
| 1952864654 | Laura Aguilar | Dentist | 3466 Mt Diablo Blvd Ste C207, Lafayette, CA 94549-7108 | 2019-04-09 |
| 1558852251 | Affordable Dentures & Implants - Lafayette, P.C. | Dentist | 4315 Commerce Dr Ste 210, Lafayette, IN 47905-3823 | 2018-05-29 |
| 1194246942 | Benjamin Isaac Fischer | Dentist | 415 N 26th St Ste 302, Lafayette, IN 47904-2893 | 2017-07-02 |
| 1912351941 | John Hyun-suk Kim | Dentist | 901 Moraga Rd Ste B, Lafayette, CA 94549-4567 | 2016-04-15 |
| 1912364241 | Maura Rose Darnieder | Dentist | 1285 Centaur Village Dr, Suite 200, Lafayette, CO 80026-1214 | 2016-01-17 |
| 1538530381 | Jacob Dent, Dds Lafayette Modern Dentistry, A Professional Corporation | Dentist | 4243 Ambassador Caffery Pkwy, Ste 118, Lafayette, LA 70508 | 2015-10-19 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1356724793 | Valeri Rose Guido-walker | Dentist | 150 Professional Ct, Suite B, Lafayette, IN 47905-5153 | 2015-07-02 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DR. TYLER KELLUM LEVIE.
| 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.