DR. JEFFREY DAVID STALEY-HENNE (NPI# 1245212273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245212273 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DAVID STALEY-HENNE |
| Other Name | DR. JEFFREY DAVID HENNE |
| Credential | D.M.D. |
| Practice Address |
701 S Main St Paris IL 61944-2329 |
| Mailing Address |
1281 N 2200th St Paris IL 61944-6075 |
| Practice Telephone | 2174634155 |
| Practice Fax Number | 2174634156 |
| Mailing Telephone | 2172753587 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 9179723 | 05 |
| Street Address |
701 S MAIN ST |
| City | PARIS |
| State | IL |
| Zip Code | 61944-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653140 | Cynthia Elaine Barbee | Speech-Language Pathologist | 300 East Wood Street, Paris, IL 61944 | 2018-09-20 |
| 1093853855 | Marilyn Marks Frey | Clinical Neuropsychologist | 723 E Court St, Paris, IL 61944 | 2007-02-02 |
| 1760546782 | Hospital & Medical Foundation of Paris Inc | Family Medicine | 1 Phipps Lane, Paris, IL 61944 | 2006-12-21 |
| 1063586550 | Robert Ellsworth Sprague | Dentist | 110 Sheriff St, Paris, IL 61944 | 2006-11-17 |
| 1629152244 | Elaine Rachelle Good | Speech-Language Pathologist | 12443 E 1000th Rd, Paris, IL 61944 | 2006-10-24 |
| 1205883428 | Human Resources Center of Edgar and Clark Counties | Day Training, Developmentally Disabled Services | 118 E Court St, Paris, IL 61944 | 2006-05-31 |
| 1932109121 | Maria C Horvat | Obstetrics & Gynecology | 727 E Court St, Paris, IL 61944 | 2005-07-28 |
| 1588164784 | Charlene Beth Moore | Nurse Practitioner | 1 Phipps Lane, Paris, IL 61944 | 2018-02-15 |
| 1942750948 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 727 E Court St, Paris, IL 61944 | 2016-10-13 |
| 1083080899 | Joy Williams | Nurse Practitioner | 727 E Court St, Paris, IL 61944 | 2015-08-16 |
| Find all providers in zip 61944 | ||||
| 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 |
|---|---|---|---|---|
| 1295190296 | Paris Dentistry Pllc | Dentist | 3844 Lamar Avenue, Paris, TX 75462 | 2015-12-18 |
| 1942604871 | Jeffrey L Fletcher | Dentist | 219 N Poplar Street, Paris, TN 38242-0219 | 2014-10-21 |
| 1841407954 | Janet Jill Mcdonald | Dentist | 60 Fairgrounds Rd # A, Paris, TN 38242-5648 | 2007-05-17 |
| 1225244114 | Garry L. Grimes | Dentist | 850 Ogburn St, Paris, TN 38242-4803 | 2007-05-15 |
| 1437361607 | Charley Neal Beard | Dentist | 409 N. Poplar St., Paris, TN 38242-3435 | 2007-05-03 |
| 1306060181 | James E. Spencer | Dentist | 2900 Pine Mill Rd, Paris, TX 75460-3448 | 2007-04-12 |
| 1407977283 | Bart C Mcfarland | Dentist | 2020 Alverson Dr, Paris, KY 40361-2205 | 2007-04-02 |
| 1003934746 | Elwyn Lee Crawford | Dentist | 2920 Pine Mill Rd, Paris, TX 75460-3448 | 2007-03-27 |
| 1053444778 | Henry Wesley Griffin | Dentist | 1349 Lamar Avenue, Paris, TX 75460 | 2007-03-13 |
| 1275678427 | Sunny M Thacker | Dentist | 4223 Lexington Rd Ste A, Paris, KY 40361-2514 | 2007-02-21 |
| Find all providers in PARIS | ||||
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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.