ZACKERY ETHAN EADES (NPI# 1255985289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255985289 |
Entity Type | Individual |
Full Name | ZACKERY ETHAN EADES |
Credential | DMD |
Practice Address |
98 Oak Park Dr Troy AL 36079-3085 |
Mailing Address |
Po Box 248 Troy AL 36081-0248 |
Practice Telephone | 2059131969 |
Mailing Telephone | 3345668266 |
Enumeration Date | 2019-07-29 |
Last Update Date | 2019-07-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 0006649-C1 | AL | Dental Providers |
Street Address |
98 OAK PARK DR |
City | TROY |
State | AL |
Zip Code | 36079-3085 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134774219 | Oak Park Dental LLC | Dentist | 98 Oak Park Dr, Troy, AL 36079-3085 | 2019-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629591060 | Walgreen Co | Pharmacy | 115 Southland Vlg # C, Troy, AL 36079 | 2017-07-18 |
1821138413 | Fleming Kirk, LLC | Optometrist | 97 Oak Park Drive, Troy, AL 36079 | 2007-02-06 |
1578625125 | Southeast Alabama Rural Health Associates | Clinic/Center | 1412 Elba Hwy, Troy, AL 36079 | 2006-12-13 |
1346259314 | Donette Louise Bish | Family Medicine | 1412 Elba Hwy, Troy, AL 36079 | 2006-08-07 |
1922018183 | Ben A Smith | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
1003826249 | Tonya L Richards | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
1780694943 | Jerry C Roy | Pediatrics | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
1972513059 | John M Blough | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
1831563527 | Sabrina L Pennington | Specialist | 104 Emily Ct, Troy, AL 36079-2981 | 2015-11-18 |
1073985438 | Cherise Renee Crisman | Specialist/Technologist | 105 Dale Dr, Troy, AL 36079-3012 | 2015-10-26 |
Find all providers in zip 36079 |
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 |
---|---|---|---|---|
1154954550 | Lane and Associates Xxxvii Dds Pa | Dentist | 473 Woods Street, Troy, NC 27371 | 2020-02-14 |
1962051292 | Simon Park | Dentist | 172 W Wattles Rd, Troy, MI 48098-4685 | 2019-09-09 |
1386298461 | Michelle Mari Szewczyk | Dentist | 755 W Big Beaver Rd Ste 250, Troy, MI 48084-4903 | 2019-07-28 |
1801449079 | Daniel Brystowski | Dentist | 650 E Big Beaver Rd Ste D, Troy, MI 48083-1432 | 2019-07-17 |
1275093247 | Kevin P Hagood | Dentist | 2480 Crooks Rd Apt 3, Troy, MI 48084-5530 | 2019-03-25 |
1942784418 | Dr. Mark B. Beard Dds, Inc | Dentist | 102 E Walnut St, Troy, KS 66087-5006 | 2018-09-20 |
1285120071 | Stephen Charles Degenhardt | Dentist | 2877 Crooks Rd Ste A, Troy, MI 48084-4717 | 2018-07-05 |
1093238966 | Yousif Gagi | Dentist | 525 E Big Beaver Rd Ste 110, Troy, MI 48083-1365 | 2017-07-21 |
1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
1396272324 | Adeeb Haque | Dentist | 4913 Seasons, Troy, MI 48098-6625 | 2017-05-22 |
Find all providers in TROY |
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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.