MARVIN E. THEWS JR. (NPI# 1316962913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316962913 |
| Entity Type | Individual |
| Full Name | MARVIN E. THEWS JR. |
| Credential | DDS |
| Practice Address |
1940 Braeburn Dr Salem VA 24153-7383 |
| Practice Telephone | 5409896648 |
| Practice Fax Number | 5409895340 |
| Mailing Telephone | 5409896648 |
| Mailing Fax Number | 5409895340 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0401004309 | VA | Dental Providers |
| Street Address |
1940 BRAEBURN DR |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972996197 | Southwest Virginia Oral & Maxillofacial Surgery, Pllc | Dentist | 1940 Braeburn Dr, Suite A, Salem, VA 24153-7383 | 2015-03-12 |
| 1386818136 | Drs. Gold and Abbott, Ltd. | Clinic/Center | 1940 Braeburn Dr, Salem, VA 24153-7383 | 2008-04-14 |
| 1073532982 | Robert L. Merian | Dentist | 1940 Braeburn Dr, Salem, VA 24153-7383 | 2006-07-19 |
| 1962421388 | Gary Bruce Nussbaum | Dentist | 1940 Braeburn Dr, Salem, VA 24153-7383 | 2006-07-18 |
| 1477572808 | Walter A. Gold | Dentist | 1940 Braeburn Dr, Salem, VA 24153-7383 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386069151 | Tcd Endodontics | Dentist | 620 12th St. Se, Salem, OR 97301 | 2014-03-03 |
| 1003941170 | Jefferson B Gourley | Dentist | 142 Pembrook St Se, Salem, OR 97302-5038 | 2007-02-22 |
| 1811088222 | Lisa Beth Wipf | Dentist | 3389 Center St Ne, Salem, OR 97301 | 2006-09-28 |
| 1730198359 | Endodontics Inc | Dentist | 2 Winter St, Salem, MA 01970-3807 | 2006-08-05 |
| 1457369969 | Chris J Bowman | Dentist | 830 Liberty St Ne, Salem, OR 97301-2450 | 2006-08-03 |
| 1891789376 | Kevin Roy Christiansen | Dentist | 4342 Liberty Rd S, Salem, OR 97302-6171 | 2005-09-09 |
| 1922647312 | - | Dentist | 4342 Liberty Rd S, Salem, OR 97302-6171 | 2020-01-02 |
| 1558779579 | David Cheung-fai Lau | Dentist | 620 12th St. Se, Salem, OR 97301 | 2014-07-23 |
| 1801216643 | Willamette Valley Endodontics, PC | Dentist | 805 High St Ne, Salem, OR 97301-2442 | 2014-04-20 |
| 1881969244 | Salem Endodontic Associates | Dentist | 4342 Liberty Rd S, Salem, OR 97302-6171 | 2012-03-19 |
| Find all providers in SALEM | ||||
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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.