DR. ELIZABETH M WAGGENER (NPI# 1205045275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205045275 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH M WAGGENER |
| Credential | D.D.S. |
| Practice Address |
305 Lake Dr Somerville TN 38068-9718 |
| Mailing Address |
8845 Oak Hedge Cv Cordova TN 38018-6957 |
| Practice Telephone | 9014652714 |
| Practice Fax Number | 9014656266 |
| Mailing Telephone | 9017582537 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7136 | TN | Dental Providers |
| Street Address |
305 LAKE DR |
| City | SOMERVILLE |
| State | TN |
| Zip Code | 38068-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871525253 | John Elijah Bell | Podiatrist | 305 Lake Dr, Somerville, TN 38068-9724 | 2006-07-07 |
| 1043731110 | Top Flight Medical Group | Specialist | 305 Lake Dr, Somerville, TN 38068-9724 | 2017-06-29 |
| 1528216231 | Somerville Dental Associates | Dentist | 305 Lake Dr, Somerville, TN 38068-9718 | 2008-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063850477 | Paula Lenore Walker | Nurse Practitioner | 25 Woodbridge, Suite A, Somerville, TN 38068 | 2013-06-07 |
| 1902026107 | Alliance Health Services, Inc | Home Health | 201 Lakeview Dr, Suite B, Somerville, TN 38068 | 2007-04-27 |
| 1730239997 | State of Tennessee | Public Health or Welfare | 90 Yum Yum Road, Somerville, TN 38068 | 2007-01-11 |
| 1366514697 | Cynthia D Elder | Pharmacy Technician | 13092 North Main Street, Summerville, TN 38068 | 2006-11-14 |
| 1275612053 | Bessie M Hoskins | Pharmacy Technician | 13092 North Main, Somerville, TN 38068 | 2006-11-03 |
| 1245319797 | Deborah Louise Davis | Pharmacy Technician | 8885 La Grange Rd, Somerville, TN 38068 | 2006-11-03 |
| 1891876868 | John David Cima | Dentist | 13190 N. Main St, Somerville, TN 38068 | 2006-10-18 |
| 1750478277 | Marie Middlecoff Stevens | Pharmacist | 13092 N Main Street, Super Drugs, Somerville, TN 38068 | 2006-10-06 |
| 1588675276 | Wilder Clinic | Family Medicine | 201 Lake View, Ste A Wilder Clinic, Sunerville, TN 38068 | 2006-08-10 |
| 1588687644 | Freds Stores of Tennessee Inc | Pharmacy | Highway 64 West, Somerville, TN 38068 | 2006-07-26 |
| Find all providers in zip 38068 | ||||
| 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 |
|---|---|---|---|---|
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1154798015 | Alexandra Todd | Dentist | 445 Artisan Way Apt 237, Somerville, MA 02145-1235 | 2015-08-26 |
| 1447650858 | Nilesh Chaturbuj Jindal | Dentist | 128 Broadway, Somerville, MA 02145-3201 | 2014-09-04 |
| 1932530656 | Randalll Davis Mdm PC | Dentist | 14 Myrtle St, Somerville, MA 02145-4312 | 2013-12-05 |
| 1588095327 | Jahan Richard Monirian | Dentist | 366 Broadway Ste 202, Somerville, MA 02145-2812 | 2013-12-04 |
| 1154608081 | Great Hill Dental Partners, LLC | Dentist | 20 Holland St Ste 400, Somerville, MA 02144-2749 | 2011-11-07 |
| 1609186147 | Madhu Katta | Dentist | 120 Temple Street, Avalon Dental Center, Somerville, MA 02145-1910 | 2010-10-18 |
| 1760793087 | Katie-rose Radin Wagner | Dentist | 6 Kensington Ave, Somerville, MA 02145-2107 | 2010-07-01 |
| 1790919454 | Paul K Shick | Dentist | 56 College Ave, Somerville, MA 02144-1958 | 2009-05-11 |
| 1053583005 | Richardsonfamilydentistry | Dentist | 17395 Highway 64, Somerville, TN 38068-6162 | 2008-03-31 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 38068 |
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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.