DR. LARRY SEAN MULLINS (NPI# 1073635843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073635843 |
Entity Type | Individual |
Full Name | DR. LARRY SEAN MULLINS |
Credential | DDS |
Practice Address |
350 Blountville Hwy Suite 206 Bristol TN 37620-0213 |
Practice Telephone | 4237644174 |
Practice Fax Number | 4237644175 |
Mailing Telephone | 4237644174 |
Mailing Fax Number | 4237644175 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
#7111 | TN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013485077 | Larry N Mullins | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-11-08 |
1760450969 | Larry L Mullins | Psychologist | 940 Ne 13th St, Mri 3000, Oklahoma City, OK 73104-5008 | 2006-03-14 |
Street Address |
350 BLOUNTVILLE HWY SUITE 206 |
City | BRISTOL |
State | TN |
Zip Code | 37620-0213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386625663 | Charles H. Christ | Dentist | 350 Blountville Hwy, Suite 202, Bristol, TN 37620-0213 | 2005-11-14 |
1194015412 | Stephen K Evans | Anesthesiology | 350 Blountville Hwy, Suite 207, Bristol, TN 37620-0213 | 2011-04-08 |
1922238849 | Correct Hearing Inc | Audiologist-Hearing Aid Fitter | 350 Blountville Hwy, Suite 102, Bristol, TN 37620-0213 | 2009-07-27 |
1255593356 | Bristol Surgery Center | Clinic/Center | 350 Blountville Hwy, Suite 108, Bristol, TN 37620-0213 | 2008-06-30 |
1679731269 | Michael August Long | Anesthesiology | 350 Blountville Hwy, #207, Bristol, TN 37620-0213 | 2008-05-30 |
1912174194 | Jayson C. Smith | Dentist | 350 Blountville Hwy, Suite 202, Bristol, TN 37620-0213 | 2008-05-15 |
1134391154 | Donald S. Redford, D.d.s, P.c | Dentist | 350 Blountville Hwy, Suite 204, Bristol, TN 37620-0213 | 2008-03-31 |
1669662516 | Bristol Dermatology, Pllc | Dermatology | 350 Blountville Hwy, Suite 201, Bristol, TN 37620-0213 | 2007-07-26 |
1699975623 | Renee D Dixon | Nurse Anesthetist, Certified Registered | 350 Blountville Hwy, Suite 207, Bristol, TN 37620-0213 | 2007-07-18 |
1215136429 | Brandace L Golden | Nurse Anesthetist, Certified Registered | 350 Blountville Hwy, Suite 207, Bristol, TN 37620-0213 | 2007-07-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
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Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922544543 | Raptis Orthodontics | Dentist | 670 East Rd, Bristol, CT 06010-6845 | 2017-01-07 |
1467725879 | Leighton W Wood Dds Ms P.C. | Dentist | 103 Linden Square Drive, Bristol, VA 24202 | 2012-02-15 |
1770703241 | Deborah A Bassham | Dentist | 3 21st St, Bristol, VA 24201-3648 | 2007-04-26 |
1588645766 | Kenneth Dale Mclaughlin | Dentist | 512 Alabama St, Bristol, TN 37620-2307 | 2005-11-07 |
1033107040 | Micheal Roger Marcotte | Dentist | 5 Center St, Bristol, CT 06010-4916 | 2005-10-12 |
1871974014 | Mbraces LLC | Dentist | 5 Center St, Bristol, CT 06010-4916 | 2015-06-12 |
1861664369 | Michael R Marcotte | Dentist | 5 Center St, Bristol, CT 06010-4916 | 2008-03-25 |
1891994802 | Laura P Posada-pacheco | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2007-07-11 |
1205907177 | Duane N. Cyr | Dentist | 670 East Rd, Bristol, CT 06010-6845 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013523703 | Evan James Agnetta | Dentist | 6311 Kingston Pike Ste 26w, Knoxville, TN 37919-4900 | 2020-09-18 |
1619595618 | Allison Jerri Williams | Dentist | 801 Sunset Dr # E5, Johnson City, TN 37604-3033 | 2020-07-07 |
1396369054 | John Thomas Houston Iv | Dentist | 125 Cool Springs Blvd # 140, Franklin, TN 37067-6474 | 2020-05-28 |
1407499957 | Kevin Michael Peterson | Dentist | 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 | 2019-10-28 |
1306488622 | Cumberland Pediatric Dentistry and Orthodontics of Cool Springs, Pllc | Dentist | 1201 Liberty Pike, Suite 202-b, Franklin, TN 37067 | 2019-10-09 |
1285191767 | Mh Dmd of Tennessee, Pllc | Dentist | 2126 Abbott Martin Rd Ste 168, Nashville, TN 37215-2619 | 2019-02-21 |
1245713528 | Lucas Orthodontics Gallatin, Pllc | Dentist | 1710 Nashville Pike, Gallatin, TN 37066-3154 | 2018-09-12 |
1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
1902329097 | Carmen Allie Quirk | Dentist | 755 E Veterans Dr, Cookeville, TN 38501-5194 | 2017-07-20 |
1568996999 | Jefferson Twomley | Dentist | 1414 Jenkins Rd Ste 146, Chattanooga, TN 37421-3470 | 2017-04-12 |
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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.