DR. BRETT EVERETTE WEEDON (NPI# 1164666905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164666905 |
| Entity Type | Individual |
| Full Name | DR. BRETT EVERETTE WEEDON |
| Credential | DDS |
| Practice Address |
198 Thomas Johnson Dr Suite 203 Frederick MD 21702-4398 |
| Practice Telephone | 3016201117 |
| Practice Fax Number | 3016209768 |
| Mailing Telephone | 3016201117 |
| Mailing Fax Number | 3016209768 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2013-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12173 | MD | Dental Providers |
| Street Address |
198 THOMAS JOHNSON DR SUITE 203 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104007 | Kenneth James Benjamin | Podiatrist | 198 Thomas Johnson Dr, Ste 4, Frederick, MD 21702-4398 | 2005-06-16 |
| 1225587538 | Oasis Therapy | Physical Therapist | 198 Thomas Johnson Dr, Suite 19, Frederick, MD 21702-4398 | 2016-09-27 |
| 1053718544 | Mustardseed Healthcare Services, LLC | Home Health | 198 Thomas Johnson Dr, Ste 205, Frederick, MD 21702-4398 | 2014-11-26 |
| 1477986099 | Ghulam Abbas, Md LLC | Internal Medicine | 198 Thomas Johnson Dr, 104, Frederick, MD 21702-4398 | 2013-08-19 |
| 1700128436 | Alysia Mason Feuer | Dietitian, Registered | 198 Thomas Johnson Dr, Suite 14, Frederick, MD 21702-4398 | 2013-03-20 |
| 1245582832 | Potomac Healthcare Alliance LLC | Clinic/Center | 198 Thomas Johnson Dr, Suite 5, Frederick, MD 21702-4398 | 2012-10-08 |
| 1700137940 | John P O'brien | Social Worker | 198 Thomas Johnson Dr, Ste 9, Frederick, MD 21702-4443 | 2012-09-27 |
| 1063786044 | Dr. Riku Mukherjee, D.d.s., P.a. | Dentist | 198 Thomas Johnson Dr, Suite 18, Frederick, MD 21702-4398 | 2012-03-08 |
| 1568731917 | David Morra | Dentist | 198 Thomas Johnson Dr, Frederick, MD 21702-4398 | 2011-12-14 |
| 1568623577 | Amaris M Little | Dentist | 198 Thomas Johnson Dr, Suite #201, Frederick, MD 21702-4398 | 2008-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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 |
|---|---|---|---|---|
| 1245868355 | Anum Zaidi | Dentist | 6701 Skipwith Ct, Frederick, MD 21702-5803 | 2020-04-01 |
| 1104347301 | Mitra Davaninejad | Dentist | 4959 Westview Dr Ste F, Frederick, MD 21703-7369 | 2017-06-28 |
| 1962954677 | Vlad Alexandru Damian | Dentist | 8203 Winter Snow Ct, Frederick, MD 21702-3075 | 2016-10-28 |
| 1073973954 | Reddy Dental PC | Dentist | 5726 Buckeystown Pike Unit B, Frederick, MD 21704-5239 | 2016-03-04 |
| 1083096234 | Mithun Suresh | Dentist | 4950 Westview Dr, Frederick, MD 21703-7001 | 2015-06-24 |
| 1073904512 | Family Dentistry of Buckeystown Pike | Dentist | 5732 Buckeystown Pike Ste 26, Frederick, MD 21704-5214 | 2015-02-05 |
| 1639568843 | Jennifer John | Dentist | 2100 Old Farm Dr Ste 1-f, Frederick, MD 21702 | 2015-01-12 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| 1750630646 | Kevin Michael Banks | Dentist | 57 Thomas Johnson Dr Ste A, Frederick, MD 21702-4670 | 2012-09-06 |
| 1689960619 | Samuel K. Huang LLC | Dentist | 196 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4520 | 2011-06-28 |
| Find all providers in FREDERICK | ||||
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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.