SCENIC DRIVE DENTAL CENTER (NPI# 1134397680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134397680 |
| Entity Type | Organization |
| Organization Name | SCENIC DRIVE DENTAL CENTER |
| Practice Address |
1171 Scenic Dr Herculaneum MO 63048-0337 |
| Mailing Address |
Po Box 337 1171 Scenic Drive Herculaneum MO 63048-0337 |
| Practice Telephone | 6364795324 |
| Mailing Telephone | 6364795324 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | MRS. JOSEPH L SCHMIEDER (DENTIST, OWNER) |
| Authorized Official Telephone | 6364795324 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
1171 SCENIC DR |
| City | HERCULANEUM |
| State | MO |
| Zip Code | 63048-0337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538281787 | Joseph Paul Schmieder | Dentist | 1171 Scenic Dr, Herculaneum, MO 63048 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104052034 | Daphane Angela Simora | Naturopath | 836 Brown St, Herculaneum, MO 63048 | 2009-06-05 |
| 1629402938 | Catherine Rapp | Speech-Language Pathologist | 497 Joachim Ave, Herculaneum, MO 63048 | 2013-08-23 |
| 1548738719 | Community Treatment Inc. | Clinic/Center | 200 Senn Tomas Dr, Herculaneum, MO 63048-1033 | 2018-11-06 |
| 1609356179 | Kelsey Jungermann | Speech-Language Pathologist | 479 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-08-15 |
| 1548435936 | Johanna Conine | Speech-Language Pathologist | 497 Joachim Ave, Herculaneum, MO 63048-1034 | 2008-04-25 |
| 1336622885 | Karissa Marie Vernon | Speech-Language Pathologist | 497 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-09-11 |
| 1417437997 | Mallorie Renth | Speech-Language Pathologist | 479 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-08-15 |
| 1851871339 | Danielle Recar | Occupational Therapist | 479 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-08-15 |
| 1083866214 | Dunklin R-5 School District | Local Education Agency (LEA) | 497 Joachim Ave, Herculaneum, MO 63048-1034 | 2008-10-21 |
| 1053972380 | Elise Marie Bagley | Behavioral Analyst | 447 Thurwell St, Herculaneum, MO 63048-1131 | 2019-06-26 |
| Find all providers in zip 63048 | ||||
| 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 |
|---|---|---|---|---|
| 1649883505 | Kameris Austin-biggs | Dentist | 3500 Jeffco Blvd Ste 100, Arnold, MO 63010-6122 | 2020-08-28 |
| 1003428335 | Ralph Thomas Dinges | Dentist | 7124 S Outer 364, O Fallon, MO 63368-7756 | 2020-08-18 |
| 1093326670 | Amani Abdulateef | Dentist | 4016 Lemay Ferry Rd, Saint Louis, MO 63129-1858 | 2020-08-16 |
| 1033728407 | Sarah Giacomini | Dentist | 1520 S 5th St Ste 103, Saint Charles, MO 63303-4127 | 2020-07-30 |
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1912516923 | Richard Houston Rash | Dentist | 303 N Keene St Ste 202-210, Columbia, MO 65201-8050 | 2020-07-26 |
| 1043828627 | Tara Elizabeth Habibi | Dentist | 3422 Utah St Fl 2, Saint Louis, MO 63118-2727 | 2020-07-20 |
| 1053929778 | Travis Barrett | Dentist | 729 Winding Bluffs Dr, Fenton, MO 63026-5564 | 2020-07-20 |
| 1952929614 | Brianna Buchheit | Dentist | 701 E Market Pkwy, Belton, MO 64012 | 2020-07-09 |
| 1467079707 | Amber Arshad | Dentist | 3901 S Bolger Rd, Independence, MO 64055-6779 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | HERCULANEUM |
| Zip Code | 63048 |
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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.