PLAZA DENTAL IMPLANT & SURGICAL CENTER, LLC (NPI# 1063760460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063760460 |
| Entity Type | Organization |
| Organization Name | PLAZA DENTAL IMPLANT & SURGICAL CENTER, LLC |
| Practice Address |
303 N Keene St Suite 209 Columbia MO 65201-7193 |
| Practice Telephone | 5738172220 |
| Practice Fax Number | 5738172808 |
| Mailing Telephone | 5738172220 |
| Mailing Fax Number | 5738172808 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | WALTER PFITZINGER (OWNER) |
| Authorized Official Telephone | 5738172220 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 010435 | MO | Dental Providers |
| Street Address |
303 N KEENE ST SUITE 209 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-7193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992796577 | Kathleen Wlaton David | Family Medicine | 303 N Keene St, Suite 301, Columbia, MO 65201-7193 | 2005-11-02 |
| 1366996050 | Tia Bruce | Nurse Practitioner | 303 N Keene St, Suite 404, Columbia, MO 65201-7193 | 2016-08-10 |
| 1144673906 | Columbia Family Medical Services, Inc. | Family Medicine | 303 N Keene St, Suite 301, Columbia, MO 65201-7193 | 2016-07-18 |
| 1720440035 | Sarah E Ondocsin | Speech-Language Pathologist | 303 N Keene St, Suite 401, Columbia, MO 65201-7193 | 2016-03-25 |
| 1457731259 | Graham Michael Tinker | Dentist | 303 N Keene St, Ste. 206-210, Columbia, MO 65201-7193 | 2015-06-05 |
| 1013306042 | Carly Zimmerman | Physical Therapist | 303 N Keene St, Ste 102, Columbia, MO 65201-7193 | 2015-01-14 |
| 1861800070 | Sport and Spine Rehab | Health Maintenance Organization | 303 N Keene St, Ste 102, Columbia, MO 65201-7193 | 2014-07-31 |
| 1376951590 | Shelton Blevins | Physical Therapist | 303 N Keene St, Ste 102, Columbia, MO 65201-7193 | 2014-07-31 |
| 1558781278 | Flow's Pharmacy, Inc | Pharmacy | 303 N Keene St, Columbia, MO 65201-7193 | 2014-04-21 |
| 1831538594 | Angela Rose Weis | Legal Medicine | 303 N Keene St, Ste 102, Columbia, MO 65201 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| 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 |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1629688338 | Tennessee Valley Dental Partners, P.C. | Dentist | 1501 Nashville Hwy Ste 102, Columbia, TN 38401-2016 | 2020-08-06 |
| 1912516923 | Richard Houston Rash | Dentist | 303 N Keene St Ste 202-210, Columbia, MO 65201-8050 | 2020-07-26 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1104304393 | Signature Smiles, LLC | Dentist | 1730 Henderson St Ste A, Columbia, SC 29201-2648 | 2018-07-31 |
| 1255837167 | Ivan Liang Zhang | Dentist | 10910 Little Patuxent Pkwy Ste 103r, Columbia, MD 21044-3081 | 2018-04-01 |
| 1831605401 | Bela Family Dentistry of Sandhills | Dentist | 126 Barton Creek Ct, Columbia, SC 29229-8027 | 2017-12-19 |
| 1588175087 | Palmetto Mobile Dental Centers LLC | Dentist | 1703 Laurel St, Columbia, SC 29201-2660 | 2017-10-24 |
| 1619491461 | Jacquelyn L Wiles | Dentist | 5615 Hood St, Columbia, SC 29207-5109 | 2017-08-02 |
| Find all providers in COLUMBIA | ||||
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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.