WHITEHAVEN DENTAL CARE INC. (NPI# 1104367481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104367481 |
| Entity Type | Organization |
| Organization Name | WHITEHAVEN DENTAL CARE INC. |
| Practice Address |
1273 E Raines Rd Memphis TN 38116-5816 |
| Mailing Address |
1273 E Raines Road Memphis TN 38116 |
| Practice Telephone | 9013986435 |
| Practice Fax Number | 9013981987 |
| Mailing Telephone | 9013986435 |
| Mailing Fax Number | 9013981987 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | DR. RAGONVA SHANTE WALLS (DENTIST) |
| Authorized Official Telephone | 9013986435 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | TN | Dental Providers |
| Street Address |
1273 E RAINES RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-5816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639230212 | Charles Stephen Zitek | Dentist | 1273 E Raines Rd, Memphis, TN 38116-5816 | 2006-12-13 |
| 1013062249 | Ragonva Shante Walls | Dentist | 1273 E Raines Rd, Memphis, TN 38116-5816 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| 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 |
|---|---|---|---|---|
| 1669016796 | John Jafarian | Dentist | Department of Periodontology 875 Union Avenue, Memphis, TN 38163-0001 | 2019-11-01 |
| 1689221152 | Dental Sleep Solutions Memphis Pllc | Dentist | 6389 N Quail Hollow Rd Ste 202, Memphis, TN 38120-1427 | 2019-08-20 |
| 1811540644 | Jane Nathanielle Moore | Dentist | 875 Union Ave Dunn Bldg Rm 502c, Memphis, TN 38163-0001 | 2019-07-21 |
| 1972096998 | Binal Jagadish Patel | Dentist | 113 Harbor Town Sq Ste 203, Memphis, TN 38103-8890 | 2018-06-13 |
| 1952894909 | Richard Anthony Law | Dentist | 875 Union Ave Dept of Orthodontics, Memphis, TN 38163-0001 | 2018-06-13 |
| 1497283691 | David Calvin Harris | Dentist | 6425 N Quail Hollow Rd Ste 101, Memphis, TN 38120-1438 | 2017-06-01 |
| 1427581057 | Ashley Hutchison | Dentist | 70 River Heights Dr Apt 304, Memphis, TN 38103-6970 | 2017-04-10 |
| 1790238533 | Fnu Sufia Kazima | Dentist | 3068 Covington Pike Ste 2, Memphis, TN 38128-5001 | 2016-07-28 |
| 1972958288 | Paul N. Gregory Jr. | Dentist | Univ of Tn College of Dentistry, 875 Union Ave., Memphis, TN 38163-0001 | 2016-04-25 |
| 1184083420 | Dove Family Dentistry - Bennington Pllc | Dentist | 5144 Riverdale Rd Ste 106, Memphis, TN 38141-0271 | 2016-02-15 |
| 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.