EDMONSON DENTAL (NPI# 1366000366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366000366 |
| Entity Type | Organization |
| Organization Name | EDMONSON DENTAL |
| Practice Address |
1427 Ky 259n Brownsville KY 42210 |
| Mailing Address |
625 Three Springs Rd Bowling Green KY 42104-7528 |
| Practice Telephone | 2707825115 |
| Mailing Telephone | 2707825115 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | DANIEL SIMON (DMD) |
| Authorized Official Telephone | 2707825115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1427 KY 259N |
| City | BROWNSVILLE |
| State | KY |
| Zip Code | 42210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639600455 | Lauren Walton | Social Worker | 205 Mohawk Street, Brownsville, KY 42210 | 2017-03-23 |
| 1962853713 | Hines Physical Therapy, LLC | Clinic/Center | 107 E Main Cross Street, Brownsville, KY 42210 | 2016-06-23 |
| 1043511736 | Darla Lynn Moody | Massage Therapist | 135 S. Main Street, Brownsville, KY 42210 | 2010-11-11 |
| 1720266851 | Sherry R Rudnick | Nurse Practitioner | 104 Mohawks St, Brownsville, KY 42210 | 2008-01-31 |
| 1831379700 | Meredith York | Case Manager/Care Coordinator | 205 Mohawk Dr., Brownsville, KY 42210 | 2007-11-08 |
| 1740460617 | Deborah Charlene White | Case Manager/Care Coordinator | 205 Mohawk St., Brownsville, KY 42210 | 2007-11-08 |
| 1649486283 | Myra S Ray | Pharmacist | 432 South Main, Brownsville, KY 42210 | 2007-05-14 |
| 1013043470 | Acsr, Inc. | Transportation Broker | 1430 Main St S, Brownsville, KY 42210 | 2007-02-27 |
| 1770621534 | Acsr, Inc. | Clinic/Center | 1430 S. Main St., Brownsville, KY 42210 | 2007-02-02 |
| 1679619811 | Physician Management Services Psc | Clinic/Center | 1573 Hwy 259n, Brownsville, KY 42210 | 2007-01-29 |
| Find all providers in zip 42210 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980700 | Uhc Dental PC | Clinic/Center | 2921 Boca Chica Blvd, Brownsville, TX 78521-3500 | 2020-01-02 |
| 1396912978 | Rudy Valle, Dds, Inc | Clinic/Center | 925 W Jefferson St, Brownsville, TX 78520-6337 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1629696505 | Kauffmann and Sims Dentistry Pllc | Clinic/Center | 3935 Dupont Cir Ste A, Louisville, KY 40207-4824 | 2020-07-08 |
| 1841816824 | Lyon Family Dental | Clinic/Center | 252 Commerce St, Eddyville, KY 42038-8294 | 2020-06-24 |
| 1508487109 | Arrow Dental Pllc | Clinic/Center | 1107 Crown Pointe Dr Ste 210, Elizabethtown, KY 42701-7281 | 2020-05-05 |
| 1831710698 | Arrow Dental Pllc | Clinic/Center | 25 E High St Ste 2, Mt Sterling, KY 40353-1267 | 2020-05-04 |
| 1699396440 | Arrow Dental Pllc | Clinic/Center | 2560 Bypass Rd Ste 2, Winchester, KY 40391-2387 | 2020-05-04 |
| 1922629773 | Arrow Dental Pllc | Clinic/Center | 1080 Ben Ali Dr Ste A, Danville, KY 40422-8937 | 2020-05-04 |
| 1730700576 | Arrow Dental Pllc | Clinic/Center | 2505 Larkin Rd Ste 201, Lexington, KY 40503-3256 | 2020-05-04 |
| 1699394783 | Professional Dental Services of Kentucky Psc | Clinic/Center | 4814 Outer Loop Ste A, Louisville, KY 40219-3302 | 2020-04-09 |
| 1316579279 | Shannon P Johnson Dmd Pllc | Clinic/Center | 9510 Ormsby Station Rd Ste 203, Louisville, KY 40223-4083 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSVILLE |
| Zip Code | 42210 |
Please comment or provide details below to improve the information on EDMONSON DENTAL.
| 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.