DR. MICHAEL ELI VRACAR II (NPI# 1396230090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396230090 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ELI VRACAR II |
| Credential | DMD |
| Practice Address |
730 Goodman Rd E Southaven MS 38671-9530 |
| Practice Telephone | 6623492351 |
| Mailing Telephone | 6623492351 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
400418 | MS | Dental Providers |
| Street Address |
730 GOODMAN RD E |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-9530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588787931 | Charles Walker Mccrary | Dentist | 730 Goodman Rd E, Ste B, Southaven, MS 38671-9530 | 2007-04-09 |
| 1225295744 | John George Kakales | Dentist | 730 Goodman Rd E, Suite A, Southaven, MS 38671-9530 | 2008-05-21 |
| 1710144225 | Charles Edwin Harbison | Dentist | 730 Goodman Rd E, Suite A, Southaven, MS 38671-9530 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780887364 | Terence Martin Fink | Dentist | 110 Guthrie Dr, Southaven, MS 38671-5828 | 2007-06-08 |
| 1295865269 | Edward Rather Jr. | Dentist | 1228 Goodman Rd E, Suite 2, Southaven, MS 38671-9540 | 2007-03-07 |
| 1518093962 | De Soto Smiles Family Dentistry | Dentist | 730 Goodman Road East, Suite A, Southaven, MS 38671-9530 | 2007-02-27 |
| 1790857738 | Clastie Dean Umfress | Dentist | 579 E Goodman Road Suite #6, Southaven, MS 38671-9433 | 2006-11-14 |
| 1225048911 | Mario E Alfonso | Dentist | 7085 Swinnea Rd, Suite A, Southaven, MS 38671-6001 | 2006-08-08 |
| 1831119940 | Jarad Joseph Braddy | Dentist | 8747 Northwest Dr, Southaven, MS 38671-2409 | 2006-07-20 |
| 1225295744 | John George Kakales | Dentist | 730 Goodman Rd E, Suite A, Southaven, MS 38671-9530 | 2008-05-21 |
| 1710144225 | Charles Edwin Harbison | Dentist | 730 Goodman Rd E, Suite A, Southaven, MS 38671-9530 | 2008-05-21 |
| 1124225230 | George A May Jr. | Dentist | 1267 Main St, Southaven, MS 38671 | 2007-07-02 |
| 1861412975 | Daniel Rhett Simmons | Dentist | 8747 Northwest Dr, Southaven, MS 38671-2409 | 2006-07-20 |
| Find all providers in SOUTHAVEN | ||||
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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.