DR. BARRY A VESCOVO (NPI# 1104048941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104048941 |
| Entity Type | Individual |
| Full Name | DR. BARRY A VESCOVO |
| Credential | DDS |
| Practice Address |
3705 Malco Way Suite103 Memphis TN 38125-2019 |
| Practice Telephone | 9017514420 |
| Practice Fax Number | 9017514421 |
| Mailing Telephone | 9017514420 |
| Mailing Fax Number | 9017514421 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4353 | TN | Dental Providers |
| Street Address |
3705 MALCO WAY SUITE103 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
| 1780200279 | Taylor Rae Vracar | Dentist | 875 Union Ave Ste 301, Memphis, TN 38103-3513 | 2020-06-19 |
| 1063982957 | Jasmine Copelanddds | Dentist | 1251 Wesley Dr Ste 130, Memphis, TN 38116-6443 | 2018-12-04 |
| 1770075681 | Bellano East Memphis, Pllc | Dentist | 5336 Estate Office Dr Ste 1, Memphis, TN 38119-3623 | 2018-06-06 |
| 1992200364 | Lauren Alyssia Henderson | Dentist | 5180 Park Ave Ste 210, Memphis, TN 38119-3530 | 2018-03-28 |
| 1598123986 | James F Proctor Dds Pa | Dentist | 1655 International Drive, Suite 203, Memphis, TN 38120-1436 | 2016-02-01 |
| 1497140008 | Tennessee Dental Professionals PC | Dentist | 6425 N Quail Hollow Rd Ste 102, Memphis, TN 38120-1438 | 2015-03-31 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1457793929 | Acadia Helath LLC | Dentist | 1000 Ridgeway Loop Rd, Suite 203, Memphis, TN 38120-4045 | 2013-07-24 |
| Find all providers in MEMPHIS | ||||
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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.