JENNA WARLICK GRAHAM (NPI# 1104146208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104146208 |
Entity Type | Individual |
Full Name | JENNA WARLICK GRAHAM |
Credential | DDS |
Practice Address |
1005 Avenue Saint Germain Covington LA 70433-6440 |
Practice Telephone | 3183760236 |
Mailing Telephone | 3183760236 |
Enumeration Date | 2010-06-11 |
Last Update Date | 2016-02-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
6069 | LA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104432103 | Jenna Elisabeth Graham | Physical Therapist | 310 Corporate Dr Ste 101, Knoxville, TN 37923-4638 | 2020-09-16 |
1043728546 | Jenna L Graham | Dietitian, Registered | 10750 W Mcdowell Rd, Avondale, AZ 85392 | 2018-01-18 |
1316497480 | Jenna Graham | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2016-10-12 |
Street Address |
1005 AVENUE SAINT GERMAIN |
City | COVINGTON |
State | LA |
Zip Code | 70433-6440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
Find all providers in zip 70433 |
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 |
---|---|---|---|---|
1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
1790252138 | John Michael Freihaut | Dentist | 4139 Baker St Ne Ste 15, Covington, GA 30014-1409 | 2018-10-24 |
1770078503 | Michael Benjamin Hampton | Dentist | 9164 Dr M L King Jr Ave, Covington, GA 30014-8710 | 2018-06-25 |
1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
1194100016 | Kelsey M Thompson | Dentist | 720 W Sherrod Ave, Covington, TN 38019-3024 | 2015-07-21 |
1205264330 | Bright Smile Dental Clinic LLC | Dentist | 229 N Monroe Ave, Covington, VA 24426-1409 | 2013-10-29 |
1902188824 | Richard Roe Nelson | Dentist | 24105 184th Ave Se, Covington, WA 98042-4896 | 2011-09-16 |
1376831073 | Reese Family Dentistry | Dentist | 973 Highway 51 N, Suite 7, Covington, TN 38019-1594 | 2011-07-14 |
1588951412 | Northwest Family Dental Care Covington, Pllc | Dentist | 27081 185th Ave Se # B-105, Covington, WA 98042-8448 | 2011-06-29 |
1568624203 | James I Gilbert IIi Dds Inc | Dentist | 229 N Monroe Avenue, Covington, VA 24426 | 2008-06-25 |
Find all providers in COVINGTON |
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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.