HALLIBURTON ORTHODONTICS,P.C. (NPI# 1194943688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194943688 |
| Entity Type | Organization |
| Organization Name | HALLIBURTON ORTHODONTICS,P.C. |
| Practice Address |
1335 E Center St Kingsport TN 37664-2489 |
| Practice Telephone | 4232463001 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD RICHARD HALLIBURTON, D.D.S., M.S. (PRESIDENT) |
| Authorized Official Telephone | 4232463001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 4057154 | 01 |
| UNITED CONCORDIA | 843715 | 01 |
| Street Address |
1335 E CENTER ST |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-2489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134175938 | Jasjot Paul Singh | Internal Medicine | 1335 E Center St, Suite #1, Kingsport, TN 37664-2489 | 2006-05-25 |
| 1154790855 | Horizon Family Medicine Pllc | Family Medicine | 1335 E Center St, #1, Kingsport, TN 37664-2489 | 2015-09-23 |
| 1164856969 | Jena Elise Hutson | Nurse Practitioner | 1335 E Center St, #1, Kingsport, TN 37664-2489 | 2013-08-28 |
| 1528354404 | Phillip Edward Marshall | Dentist | 1335 E Center St, Kingsport, TN 37664-2489 | 2011-06-20 |
| 1306005137 | Charles Aaron Ross | Family Medicine | 1335 E Center St, Suite 1, Kingsport, TN 37664-2489 | 2008-06-06 |
| 1093987760 | Cynthia Norris Pulitzer | Dentist | 1335 E Center St, Kingsport, TN 37664-2489 | 2008-04-02 |
| 1629248950 | Samuel Flettrich Pulitzer | Dentist | 1335 E Center St, Kingsport, TN 37664-2489 | 2008-03-03 |
| 1861417651 | Larry Heath Gillenwater | Dentist | 1335 E Center St, Kingsport, TN 37664-2489 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| 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 |
|---|---|---|---|---|
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1811325483 | Jennifer Nottingham Harville | Dentist | 2025 Meadoview Parkway, Suite 200, Kingsport, TN 37660 | 2013-10-17 |
| 1417204652 | Scott Matthew Cureton | Dentist | 2753 E Center St, Kingsport, TN 37664-2715 | 2012-08-07 |
| 1528194347 | Leighton W Wood | Dentist | 8 Sheridan Square, Kingsport, TN 37660-7387 | 2007-02-26 |
| 1487710687 | Leighton W Wood Dds Ms P.C. | Dentist | 8 Sheridan Sq Ste 400, Kingsport, TN 37660-7479 | 2006-12-29 |
| 1619042934 | Steven Lee Cureton | Dentist | 1201 North Eastman Road, Suite 310, Kingsport, TN 37664 | 2006-11-21 |
| 1982087326 | Harville Orthodontics Pllc | Dentist | 2025 Meadowview Pkwy, Suite 200, Kingsport, TN 37660-7386 | 2015-07-02 |
| 1093987760 | Cynthia Norris Pulitzer | Dentist | 1335 E Center St, Kingsport, TN 37664-2489 | 2008-04-02 |
| 1629248950 | Samuel Flettrich Pulitzer | Dentist | 1335 E Center St, Kingsport, TN 37664-2489 | 2008-03-03 |
| 1255400446 | Dwight A Debow | Dentist | 1203 N Wilcox Dr, Kingsport, TN 37660-4971 | 2006-11-06 |
| Find all providers in KINGSPORT | ||||
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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.