CUMBERLAND DENTURE DENTAL CENTER (NPI# 1306903869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306903869 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND DENTURE DENTAL CENTER |
| Practice Address |
40 Moonbow Plz Suite 3 Corbin KY 40701-8982 |
| Practice Telephone | 6065286104 |
| Practice Fax Number | 6065283982 |
| Mailing Telephone | 6065286104 |
| Mailing Fax Number | 6065283982 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHELLY ANDERSON (OFFICE MANAGER) |
| Authorized Official Telephone | 6065286104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5198 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 61900783 | 05 |
| Street Address |
40 MOONBOW PLZ SUITE 3 |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-8982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255440806 | Eric Gibbs | Pharmacist | 40 Moonbow Plz, Suite #1, Corbin, KY 40701-8982 | 2006-08-29 |
| 1851432702 | Falls Road Pharmacy Inc | Pharmacy | 40 Moonbow Plz, Ste 1, Corbin, KY 40701-8982 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| 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 |
|---|---|---|---|---|
| 1821118035 | Jeanne Elizabeth Martin | Dentist | 406 Master St, Corbin, KY 40701-1054 | 2007-03-30 |
| 1508996240 | Philip E Henderlight Jr. | Dentist | 1507 S Main St, Corbin, KY 40701-1932 | 2007-03-06 |
| 1093856437 | Steven Lee Haines | Dentist | 1608 Cumberland Falls Hwy, Corbin, KY 40701-2725 | 2007-02-09 |
| 1366599516 | Amy Elizabeth Brock | Dentist | 1040 Cumberland Falls Hwy, Suite A, Corbin, KY 40701-2713 | 2007-01-03 |
| 1801810734 | Gary W Combs | Dentist | 1001 Cumberland Falls Hwy, Corbin, KY 40701-2742 | 2006-07-26 |
| 1356984579 | Dustin Reed | Dentist | 1608 Cumberland Falls Hwy, Corbin, KY 40701-2725 | 2019-10-21 |
| 1588127898 | Travis K Coleman | Dentist | 1001 Cumberland Falls Hwy, Corbin, KY 40701 | 2019-04-12 |
| 1619248994 | Jeanne E Martin, Dmd | Dentist | 406 Master St, Corbin, KY 40701-1054 | 2012-01-19 |
| 1144370834 | Keith Edward Gibson | Dentist | 213 S Main St, Corbin, KY 40701-1455 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762895 | Kathryn Haire | Dentist | 507 Market Place Drive, Maysville, KY 41056 | 2020-08-26 |
| 1316556335 | Matthew Gregory Gleis | Dentist | 10515 Meeting St Unit 104, Prospect, KY 40059-6524 | 2020-07-26 |
| 1003434747 | Mckinney Family Dentistry LLC | Dentist | Jct Route 680 & Hwy 122, Minnie, KY 41651 | 2020-07-09 |
| 1245856764 | Michael Frankart | Dentist | 4135 Alexandria Pike Ste 209, Cold Spring, KY 41076-6802 | 2020-06-20 |
| 1609492297 | Corey Shannon Carter | Dentist | 415 N Lake Dr, Prestonsburg, KY 41653-1223 | 2020-06-19 |
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1396360798 | Hannah T Mckenzie | Dentist | 635 Maysville Rd Ste B, Mount Sterling, KY 40353-9767 | 2020-06-11 |
| 1457974883 | Aarti Sachin Prabhu | Dentist | Northern Kentucky Dental Centers, 2446 Anderson Road, Crescent Springs, KY 41017-4101 | 2020-05-20 |
| 1558982223 | Kenneth Taylor Ruby | Dentist | 152 Parkers Mill Rd Unit A, Somerset, KY 42501-3150 | 2020-05-04 |
| 1902432537 | Dhda Providerco, Pllc | Dentist | 13104 W Highway 42, Prospect, KY 40059-9102 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
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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.