DR. CANDICE LESLIE COLEMAN (NPI# 1164823035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164823035 |
Entity Type | Individual |
Full Name | DR. CANDICE LESLIE COLEMAN |
Other Name | CANDICE LESLIE |
Credential | DDS, MDS |
Practice Address |
3130 Tom Austin Hwy Ste D Springfield TN 37172-4519 |
Practice Telephone | 9013614116 |
Mailing Telephone | 9013614116 |
Enumeration Date | 2014-09-10 |
Last Update Date | 2019-06-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9815 | TN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073912366 | Candice Coleman | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213 | 2014-08-22 |
1366790388 | Candice Elizabeth Coleman | Pharmacist | 321 Killian Rd, Columbia, SC 29203-9607 | 2012-08-23 |
1366762072 | Candice Marie Coleman | Pharmacist | 3190 Zelda Rd, Montgomery, AL 36106-2692 | 2010-06-03 |
Street Address |
3130 TOM AUSTIN HWY STE D |
City | SPRINGFIELD |
State | TN |
Zip Code | 37172-4519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164082871 | Orthodontists of Middle Tn | Dentist | 3130 Tom Austin Hwy Ste D, Springfield, TN 37172-4519 | 2019-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
1871148965 | Austin Chhut | Occupational Therapy Assistant | Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 | 2019-08-06 |
1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
1083163752 | The Ridge | Counselor | 514 Hill Street, Springfield, TN 37172 | 2016-09-23 |
1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
1174964258 | Molly Williams | Registered Nurse | 800 S. Brown Street, Springfield, TN 37172 | 2013-07-17 |
Find all providers in zip 37172 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164985784 | Seema S. Dhingra Dds Msd | Dentist | 2237 Grube St, Springfield, OH 45503-2642 | 2019-04-10 |
1780136960 | Orthodontists of Middle Tn PC | Dentist | 324 Northcrest Dr, Springfield, TN 37172-3963 | 2016-11-03 |
1912458688 | Jerry F. Cash | Dentist | 2844 S Ingram Mill Rd, Springfield, MO 65804-4042 | 2016-10-18 |
1053714766 | Family Orthodontics of Virginia LLC | Dentist | 6225 Brandon Ave Ste 170, Springfield, VA 22150-2525 | 2014-10-08 |
1750513347 | James Anthony Tillilie | Dentist | 2 E Woodland Ave, Springfield, PA 19064-2913 | 2009-08-14 |
1033361993 | M. Alan Bagden | Dentist | 6120 Brandon Avenue, Suite 104, Springfield, VA 22150-6120 | 2008-10-22 |
1669681490 | Springfield Orthodontics | Dentist | 30 N Brookside Rd, Springfield, PA 19064-2503 | 2007-05-21 |
1225243991 | James A. Tetz | Dentist | 2100 E High St, Suite 105, Springfield, OH 45505-1363 | 2007-05-14 |
1457485195 | Dennis Philip Pryor | Dentist | 7493 Huntsman Blvd, Springfield, VA 22153-1648 | 2007-03-15 |
1063543593 | Lee Marc Kaswiner | Dentist | 165 Mountain Ave, Springfield, NJ 07081-1701 | 2007-03-08 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 37172 |
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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.