JARRELL PEDIATRIC DENTISTRY, LLC (NPI# 1275018582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275018582 |
| Entity Type | Organization |
| Organization Name | JARRELL PEDIATRIC DENTISTRY, LLC |
| Practice Address |
1538 13th Ave Ste 100 Columbus GA 31901-1956 |
| Mailing Address |
2726 Nancy St Columbus GA 31906-1253 |
| Practice Telephone | 7065300700 |
| Mailing Telephone | 7065133909 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | MARY CAROLINE JARRELL (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 7065300700 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
1538 13TH AVE STE 100 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760863872 | Caadrian Norman | Dentist | 5770 N Hamilton Rd Ste A, Columbus, OH 43230 | 2015-06-15 |
| 1871971101 | Katherine Curtis Windham | Dentist | 300 Hospital Dr Ste 3, Columbus, MS 39705-1921 | 2015-05-06 |
| 1134495591 | Matthew Keller | Dentist | 4405 N Stadium Dr Ste B, Columbus, GA 31909-1884 | 2012-03-29 |
| 1518233550 | Karina Bogdasarova | Dentist | 2332 Hardesty Ct, Columbus, OH 43204-2841 | 2012-03-23 |
| 1245569516 | Hines Little Smiles | Dentist | 5715 N Hamilton Rd, Columbus, OH 43230-1325 | 2009-12-16 |
| 1770713869 | Daniel Bernard Claman | Dentist | 943 Manor Ln Apt F, Columbus, OH 43221-2444 | 2009-07-23 |
| 1912115056 | James Irvine Lopez | Dentist | 1834 Warm Springs Rd, Columbus, GA 31904-8029 | 2007-05-21 |
| 1750415444 | Carl David Bell | Dentist | 5485 W Carr Hill Rd, Columbus, IN 47201-4865 | 2007-03-15 |
| 1710011887 | David A Itkoff | Dentist | 4730 W Broad St, Lincoln Village Plaza, Columbus, OH 43228-1613 | 2007-03-14 |
| 1023101508 | Avneet K Sandhu | Dentist | 4655 Morse Centre Rd, Columbus, OH 43229-6601 | 2006-10-02 |
| Find all providers in COLUMBUS | ||||
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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.