JOSEPH CHARLES VANDERBOSCH (NPI# 1285980698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285980698 |
| Entity Type | Individual |
| Full Name | JOSEPH CHARLES VANDERBOSCH |
| Credential | DMD |
| Practice Address |
2441 21st St Fort Campbell KY 42223-5582 |
| Practice Telephone | 2707988614 |
| Practice Fax Number | 2707988633 |
| Mailing Telephone | 2707988614 |
| Mailing Fax Number | 2707988633 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9528 | TN | Dental Providers |
| Street Address |
2441 21ST ST |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143573 | Andrew David Palalay | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2005-12-02 |
| 1821695776 | Markeanne Lasha Dunston | Dental Assistant | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-10-05 |
| 1538775937 | Roland Alonzo | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-09-21 |
| 1740891712 | Gabriel Alberto Garcia | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-13 |
| 1972114122 | Philip Worthen | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-12 |
| 1477164655 | Samuel Paul Brunson | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-12 |
| 1710597331 | Amber Archey | Dental Hygienist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-07 |
| 1932725249 | Steven W Simpson | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-06-23 |
| 1366066854 | Reed Houck | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-06-01 |
| 1689221665 | Damariun Wilson | Dental Assistant | 2441 21st St, Fort Campbell, KY 42223-5582 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| 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 |
|---|---|---|---|---|
| 1922291855 | James Bleak Powell | Dentist | Usa Dentac 21st Street, Bldg 2441, Fort Campbell, KY 42223-5369 | 2007-08-23 |
| 1568411247 | Raymond Graham Hynson | Dentist | U S A Dentac Bldg 2441, 21st Street, Fort Campbell, KY 42223-5369 | 2006-05-09 |
| 1710954755 | Alan Wayne Edmundson | Dentist | Bldg 2441, 2441 21st Street, Fort Campbell, KY 42223-5369 | 2006-03-08 |
| 1740260884 | Julian Macon Dismukes IIi | Dentist | Bldg 2441 21st St, Usa Dentac, Fort Campbell, KY 42223-5369 | 2006-01-17 |
| 1093795122 | Mark Newton Mcdonald | Dentist | Bldg 2441 21st Street, Usa Dentac, Fort Campbell, KY 42223-5369 | 2006-01-17 |
| 1538143573 | Andrew David Palalay | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2005-12-02 |
| 1538775937 | Roland Alonzo | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-09-21 |
| 1740891712 | Gabriel Alberto Garcia | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-13 |
| 1477164655 | Samuel Paul Brunson | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-12 |
| 1366066854 | Reed Houck | Dentist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-06-01 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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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.