PHILLIP WAYNE HEAD SR. (NPI# 1154312437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154312437 |
| Entity Type | Individual |
| Full Name | PHILLIP WAYNE HEAD SR. |
| Credential | DDS CAGS |
| Practice Address |
1324 Trotwood Ave Columbia TN 38401-4750 |
| Practice Telephone | 9313885627 |
| Practice Fax Number | 9313816797 |
| Mailing Telephone | 9313885627 |
| Mailing Fax Number | 9313816797 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS3913 | TN | Dental Providers |
| Street Address |
1324 TROTWOOD AVE |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144219247 | William L Hunter IIi | Dentist | 1324 Trotwood Ave, Suite 3, Columbia, TN 38401 | 2005-10-20 |
| 1679955165 | Mid-cumberland Endodontics | Dentist | 1324 Trotwood Ave, Suite #2, Columbia, TN 38401-4750 | 2015-06-22 |
| 1548605363 | Virginia M. Andrews | Counselor | 1324 Trotwood Ave, Suite 10, Columbia, TN 38401-4750 | 2013-05-07 |
| 1437454261 | Hunter Oral & Implant Surgery | Dentist | 1324 Trotwood Ave, Suite 3, Columbia, TN 38401-4750 | 2011-01-26 |
| 1922260918 | Pamela Wells Williams | Counselor | 1324 Trotwood Ave, Suite 6, Columbia, TN 38401-4750 | 2008-06-30 |
| 1992772206 | John Dale Alden IIi | Clinical Neuropsychologist | 1324 Trotwood Ave, 10, Columbia, TN 38401-4750 | 2006-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568775468 | Kool Smiles Sc-2, PC | Dentist | 5422 Forest Dr, Columbia, SC 29206-5412 | 2010-07-20 |
| 1972733624 | Robert P Bethea | Dentist | 34 Lakeview Cir, Columbia, SC 29206-3214 | 2009-07-15 |
| 1861687840 | S. Craig Schneider | Dentist | 8885 Centre Park Dr Ste 2e, Columbia, MD 21045-2199 | 2007-09-12 |
| 1285760686 | Warren Amedeo Lawson | Dentist | 601 W Nifong Blvd Ste 4b, Columbia, MO 65203-6804 | 2007-02-27 |
| 1497894588 | Fred L. Sykes | Dentist | 7024 Brookfield Rd, Columbia, SC 29223-2211 | 2007-02-05 |
| 1760560221 | Christopher Patrick Mchugh | Dentist | 130 Stonemark Ln, Columbia, SC 29210-3841 | 2006-11-01 |
| 1699790410 | William Trent Gillespie | Dentist | 618 Ott Rd, Columbia, SC 29205-2722 | 2006-07-13 |
| 1063465136 | Todd Reed Barrett | Dentist | 4023 Forest Dr, Columbia, SC 29204-4313 | 2006-05-18 |
| 1457810707 | De Endodontics | Dentist | 8808 Centre Park Dr Ste 210, Columbia, MD 21045-2221 | 2019-03-17 |
| 1679955165 | Mid-cumberland Endodontics | Dentist | 1324 Trotwood Ave, Suite #2, Columbia, TN 38401-4750 | 2015-06-22 |
| Find all providers in COLUMBIA | ||||
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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.