DR. RICHARD GLENN JACQUES (NPI# 1164566105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164566105 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GLENN JACQUES |
| Credential | DDS |
| Practice Address |
16 Mills Ave Unit #1 Greenville SC 29605-4070 |
| Mailing Address |
16 Mills Ave Ste 1 Greenville SC 29605-4065 |
| Practice Telephone | 8642424848 |
| Mailing Telephone | 8642424848 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 02333 | SC | Dental Providers |
| Street Address |
16 MILLS AVE UNIT #1 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053394387 | Mary Joette Mccoy | Dental Assistant | 16 Mills Ave, Unit #5, Greenville, SC 29605-4070 | 2005-11-21 |
| 1558811414 | Greenville Natural Health, Inc. | Acupuncturist | 16 Mills Ave, Ste. 8, Greenville, SC 29605-4070 | 2016-10-04 |
| 1114470879 | Christine Campbell Henrie | Counselor | 16 Mills Ave, Unit 8, Greenville, SC 29605-4070 | 2016-07-29 |
| 1811353527 | Kelsey Nelson | Chiropractor | 16 Mills Ave, Suite 3, Greenville, SC 29605-4070 | 2016-01-11 |
| 1861875700 | Michael Nelson | Chiropractor | 16 Mills Ave, Suite 3, Greenville, SC 29605-4070 | 2015-07-08 |
| 1669603247 | Nephrology Associates of Greenville, LLC | Internal Medicine | 16 Mills Ave, Suite 8, Greenville, SC 29605-4070 | 2009-07-31 |
| 1609948637 | Matthew J Kormylo | Dentist | 16 Mills Ave, Suite 7, Greenville, SC 29605 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| 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 |
|---|---|---|---|---|
| 1730734849 | Powdersville Smiles Dentistry, PC | Dentist | 3639 Highway 153, Greenville, SC 29611-7516 | 2019-08-06 |
| 1205313939 | Meenakshi Yadav | Dentist | 126 Awendaw Way, Greenville, SC 29607-5570 | 2018-07-25 |
| 1053813873 | Angelika Estefania Batres Navarro | Dentist | 6134 White Horse Rd Ste C, Greenville, SC 29611 | 2018-03-07 |
| 1043728975 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 3103 I-30 Frontage Rd, Greenville, TX 75402 | 2018-01-12 |
| 1407394430 | Harriet Kilgore Scully | Dentist | 1504 Parkins Mill Rd, Greenville, SC 29607-3641 | 2017-02-10 |
| 1144772500 | Greenville Dental Sleep Medicine, LLC | Dentist | 1352 Cleveland St, A, Greenville, SC 29607-2437 | 2016-11-01 |
| 1558815209 | Bradley Worner | Dentist | 4 Market Point Dr, Greenville, SC 29607-6557 | 2016-08-11 |
| 1114379898 | Natasja Bevans | Dentist | 109 Augusta St, Greenville, SC 29601-3503 | 2016-07-06 |
| 1407236847 | Kyle Given | Dentist | 109 Greenville Blvd Se Ste 108, Greenville, NC 27858-5729 | 2015-06-01 |
| 1255723169 | Virginia Hall | Dentist | 4250 Joe Ramsey Blvd E, Greenville, TX 75401-7851 | 2015-03-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.