DENTAL ASSOCIATES OF CLEVELAND (NPI# 1215569587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215569587 |
| Entity Type | Organization |
| Organization Name | DENTAL ASSOCIATES OF CLEVELAND |
| Practice Address |
33 Mouse Creek Rd Nw Cleveland TN 37312-4840 |
| Practice Telephone | 4238137020 |
| Practice Fax Number | 4238137028 |
| Mailing Telephone | 4238137020 |
| Mailing Fax Number | 4238137028 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | DR. JONATHAN GIBBS (OWNER) |
| Authorized Official Telephone | 4238137020 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
33 MOUSE CREEK RD NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477538809 | Paul H Bacon Jr. | Dentist | 33 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2005-12-08 |
| 1336785690 | Restoration Sleep Solutions LLC | Dentist | 33 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2019-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659723534 | Innovative Dental | Clinic/Center | 13922 Cedar Rd Ste 3, Cleveland, OH 44118-3204 | 2016-07-05 |
| 1407207103 | Union Dental Care, Jeffrey J. Hildebrandt, Dds, Inc. | Clinic/Center | 17535 Rosbough Blvd Ste 203, Cleveland, OH 44130-8362 | 2016-06-24 |
| 1639537616 | Broadway Family Dental Presented By Dr. Tariq Sayegh Bds LLC | Clinic/Center | 5716 Broadway Avenue, Cleveland, OH 44127-1715 | 2016-02-04 |
| 1023275013 | Lakeshore Community Dental Clinic | Clinic/Center | 1290 North Ave, Lakeshore Community Dental Clinic, Cleveland, WI 53015-1412 | 2008-05-19 |
| 1821118787 | M. J. Chrzanowski, D.d.s., Inc. | Clinic/Center | 782 E 185th St, Cleveland, OH 44119-2174 | 2007-04-01 |
| 1396874426 | Care Alliance | Clinic/Center | 1530 Saint Clair Avenue, Cleveland, OH 44114-2004 | 2007-03-05 |
| 1750418380 | Denison Dental Assoc Inc | Clinic/Center | 7140 Denison Ave, Cleveland, OH 44102 | 2007-02-28 |
| 1225648017 | Youstina Mozeih Shaker Mikhail | Clinic/Center | 9601 Chester Ave, Cleveland, OH 44106-1666 | 2020-08-05 |
| 1952919714 | Brooklyn Dental Group, Jeffrey S. Rosenthal, D.d.s., Inc. | Clinic/Center | 4163 Pearl Rd, Cleveland, OH 44109-3332 | 2020-07-17 |
| 1124644455 | Delta Family Dental, Pllc | Clinic/Center | 201 W Sunflower Rd, Cleveland, MS 38732-2637 | 2020-06-23 |
| Find all providers in CLEVELAND | ||||
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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.