DR. JENNIFER A SOUTHARD (NPI# 1336586064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336586064 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER A SOUTHARD |
| Credential | D.D.S. |
| Practice Address |
7073 S State Road 67 Pendleton IN 46064-9079 |
| Practice Telephone | 7657782176 |
| Mailing Telephone | 7657782176 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12011968A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093087355 | Jennifer Southard | Dietitian, Registered | 901 N Porter Ave, Norman, OK 73071-6404 | 2012-02-02 |
| 1356646343 | Jennifer Diane Southard | Naturopath | 105 S Riverside Dr, Suite 131, Indialantic, FL 32903-4365 | 2011-01-21 |
| 1023216538 | Jennifer A. Southard | Family Medicine | 6533 Emerald Street, Boise, ID 83704-8737 | 2007-07-05 |
| Street Address |
7073 S STATE ROAD 67 |
| City | PENDLETON |
| State | IN |
| Zip Code | 46064-9079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730531609 | Pfd LLC | Dentist | 7073 S State Road 67, Pendleton, IN 46064-9079 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912214727 | Classic Sleepcare, LLC | Durable Medical Equipment & Medical Supplies | 138 West State Street, Suite #4, Pendleton, IN 46064 | 2010-09-01 |
| 1629239355 | Stephanie Jane Russ | Family Medicine | 1251 S Huntzinger Blvd, Suite 100, Pendleton, IN 46064 | 2008-06-25 |
| 1003004219 | Hamilton-madison, Inc. | Durable Medical Equipment & Medical Supplies | 105 1/2 E. State Street, Pendleton, IN 46064 | 2007-10-12 |
| 1518019637 | Pendleton Emergency Ambulance Inc | Ambulance | 100 S Broadway, Pendleton, IN 46064 | 2007-01-17 |
| 1487755716 | Anna Marie Tallant | Counselor | 131 N Pendleton Ave, Suite A, Pendleton, IN 46064 | 2006-09-26 |
| 1336242700 | Jennifer A Neise | Dentist | 3132 W. State Road 38, Pendleton, IN 46064 | 2006-09-07 |
| 1366900599 | Megan Daberko | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2019-03-06 |
| 1821594672 | Jean Castro | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2018-04-02 |
| 1013002310 | Kenneth U Lau | Dentist | 210 East Water Street, Pendleton, IN 46064 | 2006-10-03 |
| 1912955832 | Indiana Tmj Treatment Center | Dentist | 210 East Water Street, Pendleton, IN 46064-0206 | 2006-05-04 |
| Find all providers in zip 46064 | ||||
| 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 |
|---|---|---|---|---|
| 1346658762 | Shobha Dental Care, Pa | Dentist | 6260 Highway 76, Pendleton, SC 29670-9148 | 2014-07-29 |
| 1629208707 | Ronald Keith Bowman | Dentist | 4490 Reformatory Rd, Pendleton Correctional Facility, Pendleton, IN 46064-9001 | 2009-07-22 |
| 1891958203 | Arthur L. Bruce, Dmd | Dentist | 896 S Mechanic St, Pendleton, SC 29670-1813 | 2008-07-07 |
| 1669696696 | Connie S Dunn | Dentist | 1065 Pendleton Road, Pendleton, KY 40055 | 2007-04-12 |
| 1700942505 | Vasantha Rao | Dentist | 6260 Hwy 76, Shobha Dental Care Center, Pendleton, SC 29670 | 2006-12-28 |
| 1407926728 | Dana Eldridge Wright | Dentist | 113 S Heritage Way, Pendleton, IN 46064-8750 | 2006-11-08 |
| 1336242700 | Jennifer A Neise | Dentist | 3132 W. State Road 38, Pendleton, IN 46064 | 2006-09-07 |
| 1992184667 | Alekhya Rao | Dentist | 6260 Highway 76, Pendleton, SC 29670-9148 | 2015-05-27 |
| 1689904757 | Lane A Griffin | Dentist | 73265 Confederated Way, Pendleton, OR 97801-0160 | 2010-01-12 |
| 1487980439 | Pendleton Family Dental LLC | Dentist | 2801 Sw Nye Ave, Pendleton, OR 97801-3833 | 2009-10-27 |
| Find all providers in PENDLETON | ||||
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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.