NORTH SUNFLOWER MEDICAL CENTER DENTISTS (NPI# 1104037738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104037738 |
| Entity Type | Organization |
| Organization Name | NORTH SUNFLOWER MEDICAL CENTER DENTISTS |
| Practice Address |
840 N Oak Ave Ruleville MS 38771-3227 |
| Mailing Address |
Po Box 369 Ruleville MS 38771-0369 |
| Practice Telephone | 6627562711 |
| Practice Fax Number | 6627560306 |
| Mailing Telephone | 6627561601 |
| Mailing Fax Number | 6627560306 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | MR. JOSE DANIEL CEJA (CEO) |
| Authorized Official Telephone | 6627562711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09013627 | 05 |
| Street Address |
840 N OAK AVE |
| City | RULEVILLE |
| State | MS |
| Zip Code | 38771-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699717249 | Samuel Dean Seeley | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2006-06-11 |
| 1023627122 | Kristen Cassidy Scott | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-07-24 |
| 1487271201 | Lajarvis Antwon Lewis | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-06-26 |
| 1184275133 | Kathryn Meredith James | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771 | 2019-09-21 |
| 1629627542 | Hannah Schlatter Farmer | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-09-04 |
| 1386203354 | Robert F Cox | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-06-12 |
| 1861058901 | Jane Critz Long | Dietitian, Registered | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-05-14 |
| 1396208708 | Ambroshia Hope | Registered Nurse | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-04-11 |
| 1013489756 | Cody Elizabeth Field | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-12-19 |
| 1649765223 | Nikita Marie Calvin | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881001501 | North Sunflower Medical Center | Pharmacy | 860 N Oak Ave, Ruleville, MS 38771 | 2014-07-15 |
| 1548581184 | North Sunflower Medical Center | Clinic/Center | 101 Floyce St., Ruleville, MS 38771 | 2010-06-17 |
| 1649442484 | Brooks Marlow Rizzo | Nurse Practitioner | 840a N. Oak Ave., Ruleville, MS 38771 | 2008-04-01 |
| 1427189570 | St. Johns Hospice of Mississippi, Inc. | Hospice, Inpatient | 106 Ruby Avenue, Ruleville, MS 38771 | 2007-03-08 |
| 1962444018 | Sandanna Hospice, Inc. | Hospice Care, Community Based | 105 Floyce Street, Ruleville, MS 38771-0365 | 2006-06-12 |
| 1376612895 | North Sunflower Medical Center | Durable Medical Equipment & Medical Supplies | 820 N Oak Ave, Ruleville, MS 38771-3215 | 2006-11-07 |
| 1548710510 | North Sunflower Medical Center | Clinic/Center | 860 N Oak Ave, Ruleville, MS 38771-3227 | 2016-10-13 |
| 1255405205 | Ruleville Nursing and Rehabiliation Center, LLC | Skilled Nursing Facility | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2006-11-20 |
| 1003280702 | Leah Cori Gregory-johnson | Speech-Language Pathologist | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2015-11-18 |
| 1124498340 | Tajda Cooper | Occupational Therapist | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2015-09-30 |
| Find all providers in zip 38771 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265696769 | Brantley Paul Nichols | Dentist | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1063781086 | Harbor View Oral and Facial Surgery LLC | Dentist | 1301 25th Avenue, Suite 3, Gulfport, MS 39501 | 2011-12-20 |
| 1689831125 | Charles Jackson Van Meter IIi | Dentist | 300 Maxey Dr, Brandon, MS 39042-2576 | 2008-05-21 |
| 1457521163 | Dr Richard K Akin | Dentist | 1013 Highway 90, Bay Saint Louis, MS 39520-1524 | 2008-03-10 |
| 1184802084 | Dr. George W. May, Jr., D.m.d | Dentist | 293 E Layfair Dr, Flowood, MS 39232-9527 | 2008-02-04 |
| 1396920252 | Eric Street Lewis | Dentist | 212 Rawls Dr, Mccomb, MS 39648-2870 | 2008-01-09 |
| 1689888745 | Jason Oser Rosetti | Dentist | 1301 25th Ave, Ste 3, Gulfport, MS 39501-1932 | 2007-05-09 |
| 1831303858 | Tony Dee Hooker | Dentist | 399 Southcrest Ct Ste A, Southaven, MS 38671-4790 | 2007-05-09 |
| 1437370988 | Kyle Tanner Hunt | Dentist | 971 Lakeland Dr Ste 952, Jackson, MS 39216-4609 | 2007-05-01 |
| 1871719013 | Scott Freland Thames | Dentist | 325 S 13th Ave, Laurel, MS 39440-4342 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
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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.