DAVIS AND ROBERTSON DMD. PSC (NPI# 1134323165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134323165 |
| Entity Type | Organization |
| Organization Name | DAVIS AND ROBERTSON DMD. PSC |
| Other Organization Name | DESTINY DENTAL |
| Practice Address |
1720 Destiny Ln Bowling Green KY 42104-1063 |
| Practice Telephone | 2708423554 |
| Practice Fax Number | 2707814644 |
| Mailing Telephone | 2708423554 |
| Mailing Fax Number | 2707814644 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | DR. GINA RENEE DAVIS (DENTIST) |
| Authorized Official Telephone | 2708423554 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6708 | KY | Dental Providers |
| Other Name | Type Code |
|---|---|
| Destiny Dental | Doing Business As Name - Organization |
| Street Address |
1720 DESTINY LN |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700890480 | Stephen Wayne Robertson | Dentist | 1720 Destiny Ln, 1720 Destiny Lane, Bowling Green, KY 42104-1063 | 2006-07-28 |
| 1750413936 | Gina Renee Davis | Dentist | 1720 Destiny Ln, Bowling Green, KY 42104-1063 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1356821441 | Shanna G. Burress, Dmd, Psc | Dentist | 2425 Scottsville Rd Ste 120, Bowling Green, KY 42104-4457 | 2018-08-17 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1679947246 | Derek Hunter Hayes | Dentist | 1430 Jenny Ct, Bowling Green, KY 42103-4764 | 2015-11-19 |
| 1124409479 | Brittany Strawman | Dentist | 1457 Sand Ridge Rd, Bowling Green, OH 43402-4493 | 2015-06-12 |
| 1407286198 | Eastwood Dental Pllc | Dentist | 628 Eastwood St, Bowling Green, KY 42103-1602 | 2013-11-18 |
| 1932451267 | Kevin D. Daugherty | Dentist | 727 Us 31w Byp Ste 101, Bowling Green, KY 42101-4963 | 2012-10-10 |
| 1235443052 | Daniel Morgan Carter | Dentist | 1906 College Heights Blvd # 21038, Academic Complex Room 408, Bowling Green, KY 42101-1000 | 2010-08-04 |
| 1033326483 | John Willard Strawman V | Dentist | 1064 W Wooster St, Bowling Green, OH 43402-2633 | 2007-05-16 |
| 1154545630 | Oles B Drobocky | Dentist | 727 Us 31 W By Pass, Suite 113, Bowling Green, KY 42101 | 2007-04-13 |
| 1124142773 | Amanda Gaynor Ashley | Dentist | 234 Natchez Trace Ave, Bowling Green, KY 42103-7995 | 2007-03-19 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
Please comment or provide details below to improve the information on DAVIS AND ROBERTSON DMD. PSC.
| 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.