DR. JERI LYNNETTE STULL (NPI# 1104831759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104831759 |
| Entity Type | Individual |
| Full Name | DR. JERI LYNNETTE STULL |
| Credential | D.M.D., M.S. |
| Practice Address |
637 Highland Ave Fort Thomas KY 41075-1746 |
| Practice Telephone | 8597812662 |
| Practice Fax Number | 8597811029 |
| Mailing Telephone | 8597812662 |
| Mailing Fax Number | 8597811029 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7053 | KY | Dental Providers |
| Street Address |
637 HIGHLAND AVE |
| City | FORT THOMAS |
| State | KY |
| Zip Code | 41075-1746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630472 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 604 South Fort Thomas Avenue, Fort Thomas, KY 41075 | 2020-05-08 |
| 1245878149 | A & A Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 604 South Ft. Thomas, Ft. Thomas, KY 41075 | 2019-12-11 |
| 1588213383 | Connect Counselors | Social Worker | 1051 Alexandria Pike, Suite 104, Fort Thomas, KY 41075 | 2019-09-05 |
| 1629634407 | Kristen Lynn Salvato | Counselor | 18 North Fort Thomas Avenue, Suite 109, Fort Thomas, KY 41075 | 2019-05-16 |
| 1306364872 | Mary Frances Scott | Developmental Therapist | 26 Burney Ln, Ft Thomas, KY 41075 | 2017-09-06 |
| 1881123057 | Samuel Barth | Specialist/Technologist | 33 Bellaire Place, Fort Thomas, KY 41075 | 2017-06-09 |
| 1669918371 | Jenna Weyer | Specialist/Technologist | 46 Fischer Lane, Fort Thomas, KY 41075 | 2017-01-19 |
| 1457723033 | Lauren Bradbury | Registered Nurse | 1201 N. Ft. Thomas Ave., Ft. Thomas, KY 41075 | 2015-10-22 |
| 1053639237 | Kathy H Kugler | Psychologist | 1201 South Ft Thomas Ave, Ft Thomas, KY 41075 | 2010-05-12 |
| 1104059229 | Shanna L Murray | Psychologist | 1000 S. Ft. Thomas Ave, Fort Thomas, KY 41075 | 2009-08-24 |
| Find all providers in zip 41075 | ||||
| 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 |
|---|---|---|---|---|
| 1942750559 | Tso Pllc | Dentist | 40 N Grand Ave, Suite 301, Fort Thomas, KY 41075-4107 | 2016-10-06 |
| 1669929519 | Terry Gruelle | Dentist | 40 N Grand Ave, Suite 301, Fort Thomas, KY 41075-4107 | 2016-09-08 |
| 1699106682 | Jerrod Dempsey | Dentist | 40 N Grand Ave, Suite 301, Fort Thomas, KY 41075-4107 | 2013-12-02 |
| 1275698953 | Terry V. Gruelle P.s.c. | Dentist | 40 N Grand Ave, Suite 301, Fort Thomas, KY 41075-4107 | 2006-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164089231 | Brian Barrett Glatt | Dentist | 304 Axis Dr Apt 201, Louisville, KY 40206-0169 | 2019-05-23 |
| 1669038105 | Smile Doctors of Kentucky Psc | Dentist | 1481 Cavalry Ln Ste 100, Florence, KY 41042-8428 | 2019-05-09 |
| 1942760996 | Danielle Cianciolo | Dentist | 205 Tyne Rd, Louisville, KY 40207-3443 | 2019-03-24 |
| 1033604327 | Bbb of In, LLC | Dentist | 11801 Brinley Ave Ste 100, Louisville, KY 40243-3006 | 2018-06-28 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1801399357 | Jacob Linton Sword | Dentist | 161 College St Ste 3, Pikeville, KY 41501-4786 | 2018-03-12 |
| 1073012514 | Carli Loss | Dentist | 800 Rose St Dental Science Building, Lexington, KY 40536-7001 | 2018-02-11 |
| 1548778038 | Julie J Rambo | Dentist | 620 Perimeter Dr Ste 207, Lexington, KY 40517-4125 | 2018-01-18 |
| 1992235089 | Justin A Wedding Psc | Dentist | 2816 Veach Rd Ste 301, Owensboro, KY 42303-6297 | 2017-06-12 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT THOMAS |
| Zip Code | 41075 |
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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.