DR. JESSE WALSH (NPI# 1194108282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194108282 |
| Entity Type | Individual |
| Full Name | DR. JESSE WALSH |
| Credential | DDS |
| Practice Address |
672 Carpenter Ave Mooresville NC 28115-2538 |
| Mailing Address |
672 Carpenter Ave Po Box 669 Mooresville NC 28115-2538 |
| Practice Telephone | 7046631354 |
| Practice Fax Number | 7046623213 |
| Mailing Telephone | 7046631354 |
| Mailing Fax Number | 7046623213 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10113 | NC | Dental Providers |
| Street Address |
672 CARPENTER AVE |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932274693 | Jason Richard Robinson | Dentist | 672 Carpenter Ave, Mooresville, NC 28115-2538 | 2006-11-21 |
| 1326664137 | M. Avey & Associates Nc PC IIi | Dentist | 672 Carpenter Ave, Mooresville, NC 28115-2538 | 2020-06-18 |
| 1164597811 | Frank Jefferson Poore Jr. | Dentist | 672 Carpenter Ave, Mooresville, NC 28115-2538 | 2006-11-21 |
| 1154496834 | Drs Poore Robinson & Associates Pa | Dentist | 672 Carpenter Ave, Mooresville, NC 28115-2538 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| 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 |
|---|---|---|---|---|
| 1992315154 | Claire Runde | Dentist | 484 River Hwy Ste E, Mooresville, NC 28117-6953 | 2020-08-03 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1750949129 | Drs Aghera, Patel and Associates Pllc | Dentist | 136 Fairview Rd Ste 100, Mooresville, NC 28117-9518 | 2019-05-31 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| 1619125804 | G Ross Abrams Dmd | Dentist | 591 River Hwy Ste M, Mooresville, NC 28117-6979 | 2008-09-03 |
| 1033379409 | Diane Edith Haberl | Dentist | 747 Brawley School Rd, Mooresville, NC 28117 | 2008-06-10 |
| 1801015953 | Donald T Fischer | Dentist | 124 N Indiana St, Mooresville, IN 46158-1503 | 2007-04-25 |
| 1174741003 | Hoang H. Drouin | Dentist | 631 Brawley School Rd, Suite 500, Mooresville, NC 28117-6204 | 2007-04-23 |
| 1508083353 | David Lee Pearson | Dentist | 631 Maple Lane, Mooresville, IN 46158-1262 | 2007-04-20 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
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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.