GREENVILLE ENDODONTICS, P.A. (NPI# 1407157225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407157225 |
| Entity Type | Organization |
| Organization Name | GREENVILLE ENDODONTICS, P.A. |
| Practice Address |
4501 Joe Ramsey Blvd E Ste 210 Greenville TX 75401-7836 |
| Mailing Address |
107 Suncreek Dr Ste 120 Allen TX 75013-3672 |
| Practice Telephone | 9034540123 |
| Mailing Telephone | 9034540123 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | MRS. KAVITA DODDAMANE (PRESIDENT) |
| Authorized Official Telephone | 2148018216 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
4501 JOE RAMSEY BLVD E STE 210 |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-7836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134286230 | Christopher Scott Noel | Dentist | 2092-a Woodruff Rd, Woodruff Road Professional Park, Greenville, SC 29607 | 2007-01-02 |
| 1871682328 | Kool Smiles, PC | Dentist | 3203 W Blue Ridge Dr, Greenville, SC 29611-3905 | 2006-10-12 |
| 1417041930 | Edward J. Mistak | Dentist | 104 Oakmont Dr, Greenville, NC 27858-5936 | 2006-10-02 |
| 1366556904 | Thomas E. Harvey | Dentist | 58 Pointe Cir, Greenville, SC 29615-3506 | 2006-08-19 |
| 1457376675 | James Yancy Morris | Dentist | 805 Johns Hopkins Dr, Greenville, NC 27834-7223 | 2006-07-12 |
| 1790212462 | East Carolina University School of Dental Medicine | Dentist | 1851 Macgregor Downs Rd, Greenville, NC 27834-5925 | 2017-05-12 |
| 1386951796 | Kool Smiles Sc-2, PC | Dentist | 3 K Mart Plz, Greenville, SC 29605-4442 | 2010-09-07 |
| 1700055167 | James Y. Morris, Dds, Pa | Dentist | 805 Johns Hopkins Dr, Greenville, NC 27834-7223 | 2008-02-29 |
| 1831302124 | Byron Eric Phillips | Dentist | 805 Johns Hopkins Dr, Greenville, NC 27834-7223 | 2007-05-07 |
| 1295957363 | Christopher S. Noel, Dmd, Pa | Dentist | 2092-a Woodruff Rd, Greenville, SC 29607 | 2007-05-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
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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.