SOUTHERN OHIO MINI DENTAL IMPLANT CENTER (NPI# 1417572595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417572595 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OHIO MINI DENTAL IMPLANT CENTER |
| Practice Address |
41 E South St Jackson OH 45640-1638 |
| Practice Telephone | 7405773230 |
| Mailing Telephone | 7405773230 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | DR. BRIAN K MORRIS (OWNER/DENTIST) |
| Authorized Official Telephone | 7405773230 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
41 E SOUTH ST |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503349 | Alpine Denitstry | Clinic/Center | 945 W Broadway Ave Apt 201, Jackson, WY 83001-8217 | 2020-03-13 |
| 1790269173 | Chad Brown, D.d.s., P.C. | Clinic/Center | 604 2nd St, Jackson, MN 56143-1646 | 2018-09-20 |
| 1972863207 | Bingham Endodontics, Pllc | Clinic/Center | 610 W. Broadway Ave, Jackson, WY 83001 | 2012-05-21 |
| 1396903811 | John W. Crowder, D.d.s.,p.c. | Clinic/Center | 209 Oil Well Rd, Jackson, TN 38305-7924 | 2008-05-30 |
| 1194997775 | Noel K. Toler,jr.,d.d.s.,p.a. | Clinic/Center | 2600 River Ridge Dr, Jackson, MS 39216-5013 | 2008-03-24 |
| 1124182407 | Choices for Dental | Clinic/Center | 2941 Terry Rd Ste 16, Jackson, MS 39212-3072 | 2006-12-20 |
| 1982787073 | G. Robert Hopper, D.d.s., P.C. | Clinic/Center | 468 N Parkway, Jackson, TN 38305-2857 | 2006-10-23 |
| 1508958133 | Mid South Dental Center of Jackson | Clinic/Center | 5685 Hwy 18 West, Jackson, MS 39209 | 2006-09-29 |
| 1225642242 | Lifetime Dental Care Pllc | Clinic/Center | 2528 Spring Arbor Rd, Jackson, MI 49203-3602 | 2020-09-08 |
| 1821601626 | Sheets Family Dentistry Pllc | Clinic/Center | 1615 Carlton Blvd, Jackson, MI 49203-1444 | 2020-08-31 |
| Find all providers in JACKSON | ||||
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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.