JESSICA BREEDLOVE (NPI# 1124410097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124410097 |
| Entity Type | Individual |
| Full Name | JESSICA BREEDLOVE |
| Credential | DDS |
| Practice Address |
2400 State Farm Rd Tucker AR 72168-9503 |
| Practice Telephone | 9012893593 |
| Mailing Telephone | 9012893593 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3519 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366925638 | Jessica Breedlove | Nurse Practitioner | 1505 Northside Blvd Ste 4600, Cumming, GA 30041-7658 | 2018-09-12 |
| Street Address |
2400 STATE FARM RD |
| City | TUCKER |
| State | AR |
| Zip Code | 72168-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255715348 | Meagan Walker | Nurse Practitioner | 2400 State Farm Rd, Tucker, AR 72168-9503 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295657 | Hygeia Health Inc | Physician Assistant | 3983 Lavista Rd Ste 195, Tucker, GA 30084-5154 | 2020-11-06 |
| 1417557000 | Birtukan Tsegaye | Pharmacist | 2715 Henderson Rd, Tucker, GA 30084-2432 | 2020-10-31 |
| 1588263917 | 963 Hz LLC | Home Health | 621 Arbor Cir, Tucker, GA 30084-3061 | 2020-10-17 |
| 1063019917 | Shayla Robinson | Student in an Organized Health Care Education/Training Program | 1887 Hudson Xing Apt 9, Tucker, GA 30084-5661 | 2020-10-05 |
| 1376140426 | Moandra Johnson | Marriage & Family Therapist | 2037 Weems Rd Apt 6201, Tucker, GA 30084-5263 | 2020-10-01 |
| 1356957989 | Sherryl Saunders | Massage Therapist | 1018 Oak Chase Dr Apt L, Tucker, GA 30084-8792 | 2020-09-18 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1992319271 | Jillian Nicole Felton | Dentist | 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 | 2020-09-03 |
| 1003428764 | Jessica Ringsmuth | Counselor | 2376 Main St Ste A, Tucker, GA 30084-4492 | 2020-08-23 |
| 1902418247 | Shawnquita L. Shedrick | Counselor | 1462 Montreal Rd Ste 118, Tucker, GA 30084-6904 | 2020-08-18 |
| Find all providers in TUCKER | ||||
| 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 |
|---|---|---|---|---|
| 1992319271 | Jillian Nicole Felton | Dentist | 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 | 2020-09-03 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1285177295 | Lavista Park Family Dentistry,llc | Dentist | 3939 Lavista Rd, Suite 320e, Tucker, GA 30084-5162 | 2016-11-22 |
| 1952661258 | Meena H. Mehta | Dentist | 3981 Lawrenceville Hwy Ste A, Tucker, GA 30084-4525 | 2012-05-21 |
| 1437317757 | Joseph Olem Brannen | Dentist | 4394 Hugh Howell Rd Suite 7, Tucker, GA 30084-4913 | 2008-05-23 |
| 1821210758 | Douglas R Wurster | Dentist | 2183 Northlake Parkway, #108, Tucker, GA 30084-4108 | 2007-05-02 |
| 1386861904 | Neelima Chiru | Dentist | 2260 Northlake Pkwy, Suite 220, Tucker, GA 30084-4036 | 2007-04-18 |
| 1558493882 | Eric Taliaferro Washington | Dentist | 4500 Hiugh Howell Rd, Suite 710, Tucker, GA 30084 | 2007-03-12 |
| 1710051420 | Atlanta Emergency Dental PC | Dentist | 4060 Lavista Rd, Tucker, GA 30084 | 2006-11-17 |
| 1225129265 | Norman David Busch | Dentist | 2260 Northlake Parkway, Suite 211, Tucker, GA 30084 | 2006-09-27 |
| Find all providers in TUCKER | ||||
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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.