JAMES C. FUSCO, D.D.S., P.C. (NPI# 1275707135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275707135 |
| Entity Type | Organization |
| Organization Name | JAMES C. FUSCO, D.D.S., P.C. |
| Other Organization Name | HERMITAGE DENTAL CENER |
| Practice Address |
303 Spring St Hermitage MO 65668-0105 |
| Mailing Address |
Po Box 105 Hermitage MO 65668-0105 |
| Practice Telephone | 4177452134 |
| Practice Fax Number | 4177452135 |
| Mailing Telephone | 4177452134 |
| Mailing Fax Number | 4177452135 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | DR. JAMES C FUSCO (DENTIST/OWNER) |
| Authorized Official Telephone | 4177452134 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE015502 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | DORAL DENTAL | 187734 | 01 |
| MO | 406679209 | 05 |
| Other Name | Type Code |
|---|---|
| Hermitage Dental Cener | Doing Business As Name - Organization |
| Street Address |
303 SPRING ST |
| City | HERMITAGE |
| State | MO |
| Zip Code | 65668-0105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558430405 | James C Fusco | Dentist | 303 Spring St, Hermitage, MO 65668 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235536301 | N & R of Hermitage LLC | Skilled Nursing Facility | Hwy 54 and 1st St., Hermitage, MO 65668 | 2014-12-04 |
| 1184056087 | Annette Diane Mozier | Nurse Practitioner | 102 Jackson, Hermitage, MO 65668 | 2013-08-01 |
| 1720160153 | Christian Health Care of Hermitage, Inc. | Skilled Nursing Facility | Hwy 54 and 1st St, Hermitage, MO 65668 | 2006-10-19 |
| 1851402010 | Gordon Reed Wouters | Family Medicine | Hwy 254 & Dallas St., Hermitage, MO 65668 | 2006-08-31 |
| 1942319728 | Katherine M. Rains | Nurse Practitioner | 18614 Jackson St, Hermitage, MO 65668 | 2006-08-29 |
| 1801352752 | Patricia A Drennon | Nurse Practitioner | 18614 Jackson Street, Hermitage, MO 65668 | 2019-02-15 |
| 1750416251 | Hickory County Health Department | Public Health or Welfare | 201 Cedar St, Hermitage, MO 65668 | 2007-02-23 |
| 1326453408 | Ozarks Resource Group | Clinic/Center | 18753 Spring Street, Hermitage, MO 65668-0125 | 2014-06-26 |
| 1235562836 | Amy M Greenspan | Dentist | 303 Spring St., Hermitage, MO 65668-0125 | 2013-08-19 |
| 1043424708 | Citizens Memorial Healthcare | Clinic/Center | Hwy 254 & Dallas, Hermitage, MO 65668-0125 | 2007-05-10 |
| Find all providers in zip 65668 | ||||
| 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 |
|---|---|---|---|---|
| 1790326072 | Tibbs Family Dentistry, Pllc | Dentist | 5114 Old Hickory Blvd Ste 200, Hermitage, TN 37076-2590 | 2019-10-08 |
| 1215493184 | Kollar-furey Family Dentistry, LLC | Dentist | 2200 East State Street, Hermitage, PA 16148-2760 | 2019-02-15 |
| 1740632439 | John H Friedmann Jr Dds Pllc | Dentist | 3515 Central Pike Ste 202, Hermitage, TN 37076-2029 | 2016-07-06 |
| 1982978185 | Rsrosati Dental Corp PC | Dentist | 701 N Hermitage Rd Ste 4, Hermitage, PA 16148-3250 | 2012-03-06 |
| 1538461025 | Sunny Chandravadan Bant | Dentist | 3913 Lebanon Pike, Hermitage, TN 37076-2011 | 2010-12-03 |
| 1780910067 | Maria Paula Fedler | Dentist | 5045 Old Hickory Blvd Ste 102, Hermitage, TN 37076-2581 | 2009-10-21 |
| 1114146537 | Robert Terry Winfree | Dentist | 4243 Lebanon Pike, Hermitage, TN 37076 | 2007-04-24 |
| 1356472591 | James L Kendrick | Dentist | 5518 Old Hickory Blvd, Hermitage, TN 37076-2583 | 2007-03-08 |
| 1679635288 | Terrance Joseph Wolf | Dentist | 1049 N Hermitage Rd., Hermitage, PA 16148-3114 | 2006-12-14 |
| 1578675229 | Corrine M Kollar-furey | Dentist | 2200 E State St, Hermitage, PA 16148 | 2006-08-31 |
| Find all providers in HERMITAGE | ||||
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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.