DR. TATUM MILES (NPI# 1417474321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417474321 |
Entity Type | Individual |
Full Name | DR. TATUM MILES |
Credential | DDS |
Practice Address |
959 Myrtle Ave Eureka CA 95501 |
Mailing Address |
670 9th St Ste 203 Arcata CA 95521-6249 |
Practice Telephone | 7074427078 |
Practice Fax Number | 7074427298 |
Mailing Telephone | 7078268633 |
Mailing Fax Number | 7078268638 |
Enumeration Date | 2017-08-23 |
Last Update Date | 2019-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 104195 | CA | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
2901022424 | MI | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2671 W. Grand Blvd, Detroit, MI 48208 | 3138714807 |
Street Address |
959 MYRTLE AVE |
City | EUREKA |
State | CA |
Zip Code | 95501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073609996 | Diane Teresa Patkowski | Dentist | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2006-10-05 |
1942815402 | Jennifer Nicole Stone | Dentist | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2020-09-11 |
1326667171 | Zena El Jandali El Rifai | Student in an Organized Health Care Education/Training Program | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2020-04-12 |
1861021354 | Brittany Daniel | Student in an Organized Health Care Education/Training Program | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2020-04-06 |
1619530755 | So-yon Jang | Student in an Organized Health Care Education/Training Program | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2019-04-15 |
1023503687 | Armita Dehmoobadsharifabadi | Student in an Organized Health Care Education/Training Program | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2018-06-26 |
1053845644 | Marisa M Tegarden | Dental Hygienist | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2017-04-20 |
1427582063 | Giuliana Di Piazza | Student in an Organized Health Care Education/Training Program | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2017-04-19 |
1447701446 | Tiffany Nicole Forbes | Dental Hygienist | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2016-10-14 |
1417317165 | Christine Aeyeon Choi | Dentist | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2016-02-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
Find all providers in zip 95501 |
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 |
---|---|---|---|---|
1982942652 | Angela Fang | Dentist | 604 Harris St, Eureka, CA 95503-4448 | 2013-01-30 |
1154620102 | Luke Andrew Omey | Dentist | 2752 Harrison Ave Ste B, Eureka, CA 95501-4738 | 2011-03-16 |
1558688796 | Robert Bruce Berg | Dentist | 212 J St., Eureka, CA 95501 | 2010-04-28 |
1437303989 | James Eugene Anderson | Dentist | 708 G. Ave, Eureka Dental, Inc., Eureka, SD 57437-0070 | 2008-11-11 |
1780873885 | Adam Boushek Kochendorfer | Dentist | 212 J St, Eureka, CA 95501-0524 | 2007-10-15 |
1689862435 | Kenneth S Singleton Dds | Dentist | 624 Harris St, Eureka, CA 95503-4448 | 2007-10-05 |
1386852796 | Richard F. Wolven | Dentist | 2750 Harrison Ave, Eureka, CA 95501-4738 | 2007-05-18 |
1598882789 | Stephen C Angeloff | Dentist | 3125 G Street, Eureka, CA 95503-5301 | 2007-03-23 |
1922147073 | Teresa Nmn Kosmac | Dentist | 3111 G St, Eureka, CA 95503 | 2007-02-05 |
1194873133 | Arthur G Romero | Dentist | 97 Hilltop Village Center Dr, Suite A&b, Eureka, MO 63025-1184 | 2007-01-08 |
Find all providers in EUREKA |
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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.