MRS. MISTY M SHORT CLINE (NPI# 1366600850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366600850 |
| Entity Type | Individual |
| Full Name | MRS. MISTY M SHORT CLINE |
| Other Name | MRS. MISTY M CLINE |
| Credential | DDS |
| Practice Address |
215 N Central Ave Tazewell VA 24651-1005 |
| Practice Telephone | 2769884549 |
| Practice Fax Number | 2769884186 |
| Mailing Telephone | 2769884549 |
| Mailing Fax Number | 2769884186 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2016-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401412415 | VA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
3816 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1366600850 | 05 | |
| WV | 3810012047 | 05 |
| Street Address |
215 N CENTRAL AVE |
| City | TAZEWELL |
| State | VA |
| Zip Code | 24651-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619381274 | Megan Lutz | Dentist | 215 N Central Ave, Tazewell, VA 24651-1005 | 2014-06-11 |
| 1649532896 | Steven Davis Lutz II | Dentist | 215 N Central Ave, Tazewell, VA 24651-1005 | 2012-06-13 |
| 1578658464 | Steven D Lutz Dds, P.C. | Dentist | 215 N Central Ave, Tazewell, VA 24651-1005 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043663727 | Erich Lutz | Dentist | 215 Central Ave., Tazewell, VA 24651 | 2016-07-19 |
| 1467884114 | Kristie L Stevenson | Speech-Language Pathologist | 982 Benbolt Ave, Tazewll, VA 24651 | 2013-08-05 |
| 1033550355 | Family Preservation Services, Inc | Community/Behavioral Health | 1604 Pisgah Road, Tazewell, VA 24651 | 2013-07-15 |
| 1205056678 | Family Preservation Services, Inc | Community/Behavioral Health | 819 Tazewell Ave, Tazewell, VA 24651 | 2007-04-27 |
| 1083745053 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 386 Ben Bolt Avenue, Tazewell, VA 24651 | 2007-03-08 |
| 1730242298 | Clinch Valley Pharmacy | Pharmacy | 1000 Ben Bolt Avenue, Tazewell, VA 24651 | 2006-12-18 |
| 1871609792 | Ronald Wayne Householder | Dentist | 316 Ben Bolt Avenue, Tazewell, VA 24651 | 2006-08-22 |
| 1720008485 | Eduardo Torrefranca Tolosa | Family Medicine | 984 Benbolt Avenue, Tazewell, VA 24651 | 2006-07-19 |
| 1619995933 | Rodney Ralston Abrahams I | Dentist | 204 Campbell Ln, Tazewell, VA 24651 | 2006-07-17 |
| 1922048834 | Robert S Rambo | Counselor | 526 W Main St, Tazewell, VA 24651 | 2006-06-08 |
| Find all providers in zip 24651 | ||||
| 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 |
|---|---|---|---|---|
| 1497063903 | Minton Family Dental Care | Dentist | 210 Cedar Fork Rd., Tazewell, TN 37879 | 2010-09-17 |
| 1629207428 | Jessica Mercedes Minton | Dentist | 210 Cedar Fork Rd, Tazewell, TN 37879-3201 | 2009-07-14 |
| 1568671261 | Roy Steven Stapleton | Dentist | 1839 Main St, Tazewell, TN 37879-3424 | 2007-05-21 |
| 1508271818 | Erik B. Roberts | Dentist | 386 Ben Bolt Ave, Tazewell, VA 24651 | 2014-06-25 |
| 1649532896 | Steven Davis Lutz II | Dentist | 215 N Central Ave, Tazewell, VA 24651-1005 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588488 | Nishchal Mukesh Dalal | Dentist | 2003 Woodbrook Ct, Charlottesville, VA 22901-1148 | 2020-11-08 |
| 1679173140 | Obada Itemaad Salem | Dentist | 15124 Majestic Creek Dr, South Chesterfield, VA 23834-6828 | 2020-10-26 |
| 1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
| 1952909731 | Kimia Khoshroo | Dentist | 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 | 2020-10-13 |
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1184221616 | American Dental Pllc | Dentist | 4601 Pinecrest Office Park Dr Ste D, Alexandria, VA 22312-1442 | 2020-10-07 |
| 1013523380 | Nour Hussam Tellawi | Dentist | 5911 Edsall Rd Apt 306, Alexandria, VA 22304-4112 | 2020-09-21 |
| 1760097737 | Jamiah Dawson, Dds, P.C. | Dentist | 12731 Jefferson Ave, Newport News, VA 23602-4317 | 2020-09-15 |
| 1477165561 | Amina Mekic | Dentist | 14337 Newbrook Dr, Chantilly, VA 20151-4258 | 2020-08-19 |
| 1942811906 | Christine Baek Mcandrew | Dentist | 1950 Roland Clarke Pl Ste 420, Reston, VA 20191-1414 | 2020-08-13 |
| 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.