DR. JERRY MOUNTS (NPI# 1164824868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164824868 |
| Entity Type | Individual |
| Full Name | DR. JERRY MOUNTS |
| Credential | D.D.S. |
| Practice Address |
1 Mate Street Matewan WV 25678-0537 |
| Mailing Address |
Po Box 537 Matewan WV 25678-0537 |
| Practice Telephone | 3044264161 |
| Practice Fax Number | 3044264162 |
| Mailing Telephone | 3044264161 |
| Mailing Fax Number | 3044264162 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2741 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0137275000 | 05 |
| Street Address |
1 MATE STREET |
| City | MATEWAN |
| State | WV |
| Zip Code | 25678-0537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163226 | Justin Marcum | Technician | 135 Lynn Bottom, Matewan, WV 25678 | 2020-10-30 |
| 1508466327 | Jasmine Bailey | Technician | 40 Belmont Drive, Matewan, WV 25678 | 2020-10-30 |
| 1831798651 | Lindsey Easter Daniels | Technician | 79 Simpkins Drive, Matewan, WV 25678 | 2020-10-22 |
| 1093314833 | Amya Bell | Technician | 24 Riverview Drive, Matewan, WV 25678 | 2020-10-22 |
| 1871104026 | Amanda Sue Adams | Technician | 37 Sulphur Creek, Matewan, WV 25678 | 2020-08-12 |
| 1366053621 | Krystal Nicole Curry | Technician | 1234 Mate Creek Road, Matewan, WV 25678 | 2020-08-11 |
| 1982214508 | Teresa Lee Cantrell | Technician | 7245 Beech Creek, Matewan, WV 25678 | 2020-08-07 |
| 1285728188 | Jerry Mounts Dds, Inc | Dentist | Mate Street, Matewan, WV 25678 | 2006-10-03 |
| 1174621916 | Appalachian Regional Healthcare Inc | Pharmacy | 7 Matewan St, Matewan, WV 25678 | 2006-09-20 |
| 1982680211 | Appalachian Regional Healthcare Inc. | Pharmacy | 7 Matwan Street, Matewan, WV 25678 | 2005-12-19 |
| Find all providers in zip 25678 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285728188 | Jerry Mounts Dds, Inc | Dentist | Mate Street, Matewan, WV 25678 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774401 | Triadelphia of West Virginia Dental Pllc | Dentist | 219 Cabela Dr, Triadelphia, WV 26059-1022 | 2020-09-09 |
| 1396361598 | Safa Alathari | Dentist | 1554 Mileground Rd Ste A, Morgantown, WV 26505-3749 | 2020-06-23 |
| 1063038677 | Angela Nicole Stowers | Dentist | 2601 1st Ave, Nitro, WV 25143-1713 | 2020-06-19 |
| 1700400231 | Tyler Reed Myers | Dentist | 45 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2020-06-01 |
| 1245871326 | Mason Bishop | Dentist | 402 Red Oak St, Summersville, WV 26651-1000 | 2019-09-30 |
| 1710547039 | Christopher Stephen Mallow | Dentist | 9030 Petersburg Pike, Upper Tract, WV 26866-8014 | 2019-06-18 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1235797804 | Brennan Matthew Wood | Dentist | 142 Holiday Ln, Lewisburg, WV 24901-9315 | 2019-05-30 |
| 1568923837 | Yulia Meadows | Dentist | 8 Middletown Rd, Fairmont, WV 26554-8102 | 2019-03-28 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
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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.