ELEVATION DENTISTRY PLLC (NPI# 1205335346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205335346 |
| Entity Type | Organization |
| Organization Name | ELEVATION DENTISTRY PLLC |
| Practice Address |
1710 Hwy 121 N. Byp. Ste A Murray KY 42071 |
| Practice Telephone | 2707539479 |
| Practice Fax Number | 2707612528 |
| Mailing Telephone | 2707539479 |
| Mailing Fax Number | 2707612528 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Authorized Official Name | MR. ZAKARI MILLER TAYLOR (OWNER/DENTIST) |
| Authorized Official Telephone | 2707539479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
5174 | KY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9592 | KY | Dental Providers |
| Street Address |
1710 HWY 121 N. BYP. STE A |
| City | MURRAY |
| State | KY |
| Zip Code | 42071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| 1447488226 | Jessica A Champion | Counselor | 1712 St. Rt. 121 N Suite D, Murray, KY 42071 | 2009-06-30 |
| Find all providers in zip 42071 | ||||
| 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 |
|---|---|---|---|---|
| 1396263232 | Creek Capital Burg General LLC | Dentist | 678 E Vine St Ste 10, Murray, UT 84107-5500 | 2017-08-30 |
| 1124477294 | Jason Wareham | Dentist | 6040 S Fashion Blvd Ste 100, Murray, UT 84107 | 2016-06-08 |
| 1225437353 | Access Professional Dental Care,llc | Dentist | 6540 S State St, Murray, UT 84107-7219 | 2014-08-14 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1962635466 | Bullen & Wilson Eaglegate College Dental Clinic | Dentist | 5618 Green St, Murray, UT 84123-5796 | 2009-08-31 |
| 1609020478 | Randy N. Downing | Dentist | 6095 S Fashion Blvd Ste 200, Murray, UT 84107-7395 | 2008-11-06 |
| 1770740458 | George Winder | Dentist | 1035 Bellwood Ln, Suite 100, Murray, UT 84123-7964 | 2008-05-20 |
| 1598943136 | Morgan Jay Smith | Dentist | 6065 Fashion Blvd Ste 200, Murray, UT 84107-5406 | 2008-02-06 |
| 1902008378 | John Hicks Middleton | Dentist | 4970 S 900 E Ste E, Murray, UT 84117-5796 | 2007-06-05 |
| 1619183357 | John William Myers | Dentist | 6095 Fashion Blvd Ste 290, Murray, UT 84107-7391 | 2007-05-16 |
| Find all providers in MURRAY | ||||
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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.