HEATHER KILLEBREW TUTOR, DMD, PA (NPI# 1205082963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205082963 |
| Entity Type | Organization |
| Organization Name | HEATHER KILLEBREW TUTOR, DMD, PA |
| Practice Address |
302 Court Square Lexington MS 39095 |
| Practice Telephone | 6628349899 |
| Practice Fax Number | 6628349895 |
| Mailing Telephone | 6628349899 |
| Mailing Fax Number | 6628349895 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | DR. HEATHER KILLEBREW TUTOR (OWNER) |
| Authorized Official Telephone | 6628349899 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3145-00 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015878 | 05 |
| Street Address |
302 COURT SQUARE |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114396553 | Laura Dixon | Dentist | 302 Court Square, Lexington, MS 39095 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| Find all providers in zip 39095 | ||||
| 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 |
|---|---|---|---|---|
| 1548861339 | Lexington Dental Group LLC | Dentist | 35 Bedford St Ste 110, Lexington, MA 02420-4320 | 2020-11-06 |
| 1043823586 | Rachad Kudsi | Dentist | 800 Rose St Lexington Ky, Lexington, KY 40536-0001 | 2020-08-25 |
| 1730799933 | Fernanda Yanez Regonesi | Dentist | 740 S Limestone Second Floor Wing C Room E214, Lexington, KY 40536-0001 | 2020-08-03 |
| 1922624618 | Todays Dental At Lexington LLC | Dentist | 458 Old Cherokee Rd Ste 100, Lexington, SC 29072-6971 | 2020-06-18 |
| 1174168538 | Dana Veis | Dentist | 3101 Richmond Rd Ste 307, Lexington, KY 40509-1526 | 2019-11-08 |
| 1548817711 | Leonard Mcelroy Brown, Jr., Dds, P.a. | Dentist | 29 Plaza Pkwy, Lexington, NC 27292-5359 | 2019-08-22 |
| 1881256766 | Walied Eldomiaty | Dentist | 800 Rose St Bldg 4, Lexington, KY 40536-4643 | 2019-07-01 |
| 1477112043 | Pratishtha Mishra | Dentist | Uk College of Dentistry 800 Rose Street, Lexington, KY 40536-0001 | 2019-06-07 |
| 1528627270 | Alexandra Leigh Coleman | Dentist | 2358 Nicholasville Rd Ste 155, Lexington, KY 40503-3041 | 2019-06-06 |
| 1689239691 | Shayla Wilson | Dentist | University of Kentucky 740 S Limestone, Lexington, KY 40536-0001 | 2019-05-06 |
| Find all providers in LEXINGTON | ||||
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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.