DR. DEANE ELMO DOOLEN (NPI# 1417104944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417104944 |
| Entity Type | Individual |
| Full Name | DR. DEANE ELMO DOOLEN |
| Credential | D.D.S. |
| Practice Address |
102 N. Kickapoo St. Lincoln IL 62656-2723 |
| Practice Telephone | 2177328494 |
| Practice Fax Number | 2177328494 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019-0010841 | IL | Dental Providers |
| Street Address |
102 N. KICKAPOO ST. |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| 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 |
|---|---|---|---|---|
| 1508427626 | Ehsan Mostaghni | Dentist | 4000 E Campus Loop S Dept Of, Lincoln, NE 68583-1530 | 2019-06-28 |
| 1730650037 | Kristopher Jacob Keller | Dentist | Unmc College of Dentistry 4000 East Campus Loop South, Lincoln, NE 68583-0740 | 2018-12-12 |
| 1427534106 | Landon Peterson | Dentist | 4000 E. Campus Loop, Lincoln, NE 68583 | 2018-07-16 |
| 1316430655 | Alyssa Nicole Leboeuf | Dentist | 1265 S Cotner Blvd Ste 1, Lincoln, NE 68510-4924 | 2018-06-12 |
| 1306338595 | Distinctive Dental Care | Dentist | 3201 Pioneers Blvd Ste 308, Lincoln, NE 68502-5963 | 2018-06-04 |
| 1528584612 | Mattie Bertels | Dentist | Po Box 830740, Lincoln, NE 68583-0740 | 2017-08-21 |
| 1265954648 | Grant Essink | Dentist | 7822 South 96th Bay, Lincoln, NE 68526 | 2017-07-07 |
| 1336673136 | Preserve Family Dentistry LLC | Dentist | 4303 S 84th St, Lincoln, NE 68516-4403 | 2017-04-18 |
| 1093168056 | Alyssa Cattle | Dentist | 1649 La Plata Court, Lincoln, NE 68521 | 2016-07-14 |
| 1528419504 | Allison Schubert | Dentist | 3180 S 72nd St, Apt. 274, Lincoln, NE 68506-3738 | 2016-06-30 |
| Find all providers in LINCOLN | ||||
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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.