DR. JOHN C. PRYSE,JR. (NPI# 1356491666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356491666 |
| Entity Type | Individual |
| Full Name | DR. JOHN C. PRYSE,JR. |
| Credential | DDS |
| Practice Address |
180 Edgewood Ave Clinton TN 37716-2817 |
| Practice Telephone | 8654572299 |
| Practice Fax Number | 8654638223 |
| Mailing Telephone | 8654572299 |
| Mailing Fax Number | 8654638223 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2666 | TN | Dental Providers |
| Street Address |
180 EDGEWOOD AVE |
| City | CLINTON |
| State | TN |
| Zip Code | 37716-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558645580 | Tram Ngoc Nguyen | Dentist | 6306 Kirby Rd, Clinton, MD 20735-1336 | 2011-10-10 |
| 1285835991 | Dr. Darrell Adrian Clark D.d.s. | Dentist | 8839 Branch Ave, Clinton, MD 20735-2632 | 2007-05-30 |
| 1548328370 | Kenneth Spencer Carlough | Dentist | 248 E Main St, Clinton, CT 06413-2230 | 2006-12-05 |
| 1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
| 1982781340 | Eastern Iowa Orthodontics | Dentist | 314 3rd Ave S, Clinton, IA 52732-4436 | 2006-11-01 |
| 1174619712 | Sandy E Rushing | Dentist | 749 Clinton Parkway, Clinton, MS 39056 | 2006-10-04 |
| 1659462885 | S Everett Rushing, Dmd,pa | Dentist | 749 Clinton Pkwy, Clinton, MS 39056-5245 | 2006-09-26 |
| 1235510199 | Robert Geiman | Dentist | 248 E Main St, Clinton, CT 06413-2230 | 2015-06-16 |
| 1477790699 | Richard P Johnsen | Dentist | Highway 31, Walnut Pond Professional Building, Clinton, NJ 08809 | 2009-01-09 |
| 1881722288 | David William Schrody | Dentist | 2635 Lincoln Way, Suite E, Clinton, IA 52732-7203 | 2007-02-28 |
| Find all providers in CLINTON | ||||
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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.