DR. CARL W EILERS JR.


Address: 508 Princeton Rd, Suite 204, Johnson City, TN 37601-2060
Phone: 4239151072

DR. CARL W EILERS JR. (NPI# 1295736569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295736569
Entity Type Individual
Full Name DR. CARL W EILERS JR.
Credential DDS
Practice Address 508 Princeton Rd
Suite 204
Johnson City
TN 37601-2060
Practice Telephone 4239151072
Enumeration Date 2005-08-09
Last Update Date 2012-03-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DS7751 TN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN MEDICARE GROUP NUMBER 3726194 01
TN ORGANIZATION NPI NUMBER 1518969229 01
TN ORGANIZATION NPI 1972504389 01
TN ORGANIZATION NPI 1609878388 01

Other Providers CARL EILERS

NPI Name Taxonomy Address Enumeration
1508977166 Carl J Eilers Family Medicine 635 Anderson Rd, #10, Davis, CA 95616-3505 2006-08-31

Office Location

Street Address 508 PRINCETON RD
SUITE 204
City JOHNSON CITY
State TN
Zip Code 37601-2060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215469358 Qc Family Practice Clinic/Center 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 2017-03-29
1942651120 Angela Dawn Tolley Psychologist 508 Princeton Rd, Suite 403, Johnson City, TN 37601-2060 2016-06-28
1538519491 Marsha Litton-baker Counselor 508 Princeton Rd, Ste 403, Johnson City, TN 37601-2060 2016-06-21
1154779817 Blue Ridge Medical Management Corporation Psychiatry & Neurology 508 Princeton Rd, Ste 403, Johnson City, TN 37601-2060 2016-06-02
1497085435 Daniel Mcclaskey Auter Dentist 508 Princeton Rd, Suite 305, Johnson City, TN 37601-2060 2010-01-13
1609045806 Connie R. Simpson Counselor 508 Princeton Rd, Suite 403, Johnson City, TN 37601-2060 2008-02-21
1982808424 Elizabeth Forgey Cannon Dentist 508 Princeton Rd, Suite 303, Johnson City, TN 37601-2060 2007-06-11
1619187283 Quinton W Carroll Registered Nurse 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 2007-05-23
1467568360 Jimmy Dale Westmoreland II Dentist 508 Princeton Rd, Johnson City, TN 37601 2006-08-22
1932159472 David W Jones Urology 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 2006-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396381992 Juan Carlos Simon Villegas Gomez Specialist/Technologist 1081 John Robert Bell Dr, Johnson City, TN 37601 2019-11-19
1629537279 Jaima Suzanne Price Hearing Instrument Specialist 106 E Watauga Avenue, Johnson City, TN 37601 2019-03-13
1275004467 Brittany Howell Speech-Language Pathologist 2114 E. Fairview Ave, Johnson City, TN 37601 2018-12-16
1194229948 Heather Chantel Lester Physical Therapist 2114 E. Fairview Avenue, Johnson City, TN 37601 2018-03-19
1477061869 Patrick Conway Reynolds Specialist/Technologist 1081 John Robert Bell Drive, Johnson City, TN 37601 2018-01-19
1790201135 Surgical Services of East Tennessee PC Surgery 300 East Main St., Suite 301, Johnson City, TN 37601 2017-08-17
1073065694 Davina Leah Reppond Home Health 1204 E Myrtle Ave, Johnsoncity, TN 37601 2016-10-31
1003365503 Wendi Y Minutolo Behavioral Analyst 403 Princeton Rd Ste 3, Johnson City, TN 37601 2016-09-25
1306208798 Rachel Anne Anderson Nurse Practitioner 1118 East Holston Avenue, Johnson City, TN 37601 2016-03-24
1932560976 Kaydee Louise Davidson Occupational Therapist 3209 Bristol Highway, Johnson City, TN 37601 2016-03-18
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295898286 James Leonard Desantis Dentist 535 Columbia Drive, Johnson City, NY 13790 2006-12-19
1790750586 Sandford W Prince Dentist 2306 Knob Creek Road #108, Knob Creek Oral Clinic, Johnson City, TN 37604 2006-02-23
1104812213 Martin R Pittman Dds Ms PC Dentist 111 W Fairview Ave, Johnson City, TN 37604-5632 2005-09-23
1427163666 The Regional Center for Oral & Maxillofacial Surgery, PC Dentist 1021 W Oakland Ave, Suite 109, Johnson City, TN 37604-2191 2006-08-20
1588634471 Charles Edward Witkowski Sr. Dentist 1021 W Oakland Ave, Suite 109, Johnson City, TN 37604-2191 2006-01-24
1518969229 L Alan Bacon Dds PC & John Collins Dds PC Dentist 508 Princeton Rd, Suite 204, Johnson City, TN 37601-2060 2005-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396199055 Daniel Coke Dentist 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 2016-04-19
1467835140 Amir Victor Francis Dentist 1100 Poplar View Ln N Ste 1, Collierville, TN 38017-9323 2015-06-30
1376939645 Matthew Breit Dentist 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 2015-04-13
1720472855 Charles Baker Felts Iv Dentist 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2193 2015-03-26
1073910725 Nashville Oral Facial Surgery, Pllc Dentist 2400 Patterson St Ste 316, Nashville, TN 37203-6510 2014-11-24
1194122135 Samuel Edward Molind Dentist 210 Memorial Dr, Bristol, TN 37620-1704 2014-11-19
1780094052 Andrew Ferraro Dentist 2964 Miller Place Way, Knoxville, TN 37924-1673 2014-05-07
1144649393 Thomas Bailey Dentist 3000 Stansberry Ln Ste 101, Franklin, TN 37069-5125 2014-04-15
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1427471382 Oral & Maxillofacial Surgery Clinic Inc. Dentist 910 Madison Ave Ste 710, Memphis, TN 38103-3453 2014-01-29
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Competitor

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City JOHNSON CITY
Zip Code 37601

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Dataset Information

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.

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