SISCO FAMILY DENTISTRY (NPI# 1275960312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275960312 |
| Entity Type | Organization |
| Organization Name | SISCO FAMILY DENTISTRY |
| Other Organization Name | JAMESTOWN FAMILY DENTISTRY |
| Practice Address |
240 Central Ave. West Jamestown TN 38556-0884 |
| Mailing Address |
Po Box 884 Jamestown TN 38556-0884 |
| Practice Telephone | 9318799544 |
| Practice Fax Number | 9318790844 |
| Mailing Telephone | 9318799544 |
| Mailing Fax Number | 9318790844 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | TRAVIS W SISCO (OWNER) |
| Authorized Official Telephone | 9318799544 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | SISCO FAMILY DENTISTRY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1528728 | 05 |
| Other Name | Type Code |
|---|---|
| Jamestown Family Dentistry | Doing Business As Name - Organization |
| Street Address |
240 CENTRAL AVE. WEST |
| City | JAMESTOWN |
| State | TN |
| Zip Code | 38556-0884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992265805 | Misty Dawn Smith | Speech-Language Pathologist | 342 W Central Avenue, Jamestown, TN 38556 | 2019-03-25 |
| 1871024513 | Mountain People's Health Councils, Inc | Dentist | 104 Reagan Ave, Jamestown, TN 38556 | 2017-03-24 |
| 1417388802 | Ashli Westfelt | Occupational Therapist | 1011 Old Lee Hwy 127 S, Jamestown, TN 38556 | 2013-12-10 |
| 1275963753 | Freds Stores of Tennessee Inc. | Pharmacy | 418 A West Central Avenue, Jamestown, TN 38556 | 2013-11-19 |
| 1689009490 | Lorry Gray | Speech-Language Pathologist | 1011 Old Lee Hwy 127, Jamestown, TN 38556 | 2013-09-11 |
| 1215362025 | Sarah Clapp | Speech-Language Pathologist | 1011 Old Lee Hwy 127 S., Jamestown, TN 38556 | 2013-09-11 |
| 1154763134 | Hometown Family Medical Clinic | Nurse Practitioner | 418 B West Central Avenue, Jamestown, TN 38556 | 2013-07-19 |
| 1699049288 | Linda Conatser | Pharmacist | 418a W Central Avenue, Jamestown, TN 38556 | 2012-02-29 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1437472248 | Lifecare Family Services | Community/Behavioral Health | 1911 Michigan Avenue, Jamestown, TN 38556 | 2010-03-08 |
| Find all providers in zip 38556 | ||||
| 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 |
|---|---|---|---|---|
| 1871024513 | Mountain People's Health Councils, Inc | Dentist | 104 Reagan Ave, Jamestown, TN 38556 | 2017-03-24 |
| 1659646487 | Jeffrey Frank Kocher | Dentist | 18259 Main St, Jamestown, CA 95327-9251 | 2012-03-12 |
| 1437354313 | Christopher Michael Francese | Dentist | 796 Fairmount Ave, Jamestown, NY 14701-2517 | 2007-06-19 |
| 1811191695 | Timothy Harrison Sinner | Dentist | 1209 5th Ave Se, Jamestown, ND 58401-5601 | 2007-06-13 |
| 1487870473 | James Michael Puckett | Dentist | 800 W Main St Ste B, Jamestown, NC 27282-8830 | 2007-04-18 |
| 1821114307 | Daniel T Welsh | Dentist | 4 Glidden Ave, Jamestown, NY 14701-4320 | 2007-03-22 |
| 1407989551 | Madelinne Kay Perry | Dentist | 5200 Mackay Rd, Jamestown, NC 27282-9762 | 2007-03-14 |
| 1174619746 | Ronald Ray Beshears | Dentist | 720 West Main Street, Suite B, Jamestown, NC 27282 | 2006-10-04 |
| 1114025533 | Kimberly Rae Meabon | Dentist | 400 W 5th St, Jamestown, NY 14701-4811 | 2006-09-20 |
| 1407951056 | Kenneth Dale Mcdougall | Dentist | 815 1st Ave S, Jamestown, ND 58401-4746 | 2006-09-14 |
| Find all providers in JAMESTOWN | ||||
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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.