DR. JESSICA WALLACE MIRRIELEES (NPI# 1255666863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255666863 |
| Entity Type | Individual |
| Full Name | DR. JESSICA WALLACE MIRRIELEES |
| Credential | DMD |
| Practice Address |
8867 Us Highway Union KY 41091 |
| Mailing Address |
11080 War Admiral Dr Union KY 41091-7920 |
| Practice Telephone | 8593840393 |
| Mailing Telephone | 8598935128 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2015-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8747 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100176940 | 05 |
| Street Address |
8867 US HIGHWAY |
| City | UNION |
| State | KY |
| Zip Code | 41091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205462967 | Florence Smiles Dentistry, Pllc | Dentist | 9031 Hwy 42 West, Ste A, Union, KY 41091 | 2020-03-13 |
| 1104307271 | Boonespring Transitional Care Center, LLC | Skilled Nursing Facility | 10250 Us 42, Union, KY 41091 | 2018-08-27 |
| 1164921466 | Chelsea Brosky I | Social Worker | 18825 Frogtown Connector, Richwood, KY 41091 | 2018-02-02 |
| 1932646643 | Emily Rozsonits | Nurse Practitioner | 9404 Riviera Dr, Union, KY 41091 | 2017-01-20 |
| 1851598338 | Raymond Scott May | Technician/Technologist | 8761 U.S. Highway 42, Suite E, Union, KY 41091 | 2007-06-28 |
| 1063624955 | Joanne R Mitchell | Contractor | 4210 Beaver Rd, Union, KY 41091 | 2007-05-04 |
| 1962623413 | Christina L Lacharite | Speech-Language Pathologist | 1144 Abbington Drive, Union, KY 41091 | 2007-05-01 |
| 1831243096 | Masucci and Spencer Psc | Chiropractor | 8761 Us 42, Suite C, Union, KY 41091 | 2007-01-23 |
| 1831243260 | Brian Keith Spencer | Chiropractor | 8761 Us 42 Ste C, Union, KY 41091 | 2007-01-23 |
| 1992979579 | Dedi L Turner | Dentist | 1982 Mount Zion Rd, Union, KY 41091 | 2008-04-15 |
| Find all providers in zip 41091 | ||||
| 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 |
|---|---|---|---|---|
| 1205462967 | Florence Smiles Dentistry, Pllc | Dentist | 9031 Hwy 42 West, Ste A, Union, KY 41091 | 2020-03-13 |
| 1841832953 | Hima Desai | Dentist | 2130 Morris Ave, Union, NJ 07083-6006 | 2019-10-09 |
| 1720459613 | Michelle Leyla Epshteyn | Dentist | 372 Chestnut St, Union, NJ 07083-9401 | 2015-10-17 |
| 1154682862 | Seymour M Gross Dds David A Maloff Dmd Pa | Dentist | 2170 Morris Ave, Union, NJ 07083 | 2012-05-30 |
| 1023345535 | Joel Bender | Dentist | 142 E. Dearborn St., Union, OR 97883 | 2009-11-05 |
| 1801021647 | Katherine Leach Kilcollin | Dentist | 100 Health Center Drive, Union, WV 24983-0618 | 2009-05-22 |
| 1770763013 | Terry Layne Tanner | Dentist | 200 W Locust St, Union, MO 63084-1751 | 2007-11-04 |
| 1366654782 | John Zuber | Dentist | 2626 Morris Ave, Union, NJ 07083-5667 | 2007-05-06 |
| 1548481419 | Christopher Levonne Williams Jr. | Dentist | 2115 Route 22 West, Union, NJ 07083 | 2007-05-01 |
| 1316166424 | Steven Alphonse Zizza | Dentist | 95 Depot St, Union, ME 04862-4211 | 2007-04-25 |
| Find all providers in UNION | ||||
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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.