JEREMY ALLEN LEWIS (NPI# 1427033661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427033661 |
| Entity Type | Individual |
| Full Name | JEREMY ALLEN LEWIS |
| Credential | DMD |
| Practice Address |
4307 3rd Ave Marianna FL 32446-2177 |
| Practice Telephone | 8505264220 |
| Mailing Telephone | 8505264220 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN17076 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 076091900 | 05 | |
| FL | DENTAL LICENSE | DC17076 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366943748 | Jeremy Marcell Lewis | Massage Therapist | 66555 4th St Apt 24, Desert Hot Springs, CA 92240-3234 | 2018-02-22 |
| 1275943912 | Jeremy Lewis | Pharmacist | 620 E Chicago Rd, Coldwater, MI 49036-9497 | 2014-05-03 |
| 1770716284 | Jeremy Shane Lewis | Specialist/Technologist | 1025 E Broadway Rd, Ste 100, Tempe, AZ 85282-1599 | 2009-08-31 |
| 1447492673 | Jeremy David Lewis | Marriage & Family Therapist | 1800 Wesley Rd, Auburn, IN 46706-3653 | 2009-04-02 |
| 1972707743 | Jeremy J. Lewis | Neurological Surgery | 2211 Lomas Blvd Ne, Unmh, Albuquerque, NM 87106-2719 | 2007-06-13 |
| 1164514436 | Jeremy C Lewis | Emergency Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2006-09-28 |
| Street Address |
4307 3RD AVE |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902813777 | Larry J Cook | Dentist | 4307 3rd Ave, Marianna, FL 32446-2177 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| Find all providers in zip 32446 | ||||
| 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 |
|---|---|---|---|---|
| 1659384238 | Louis C Mitchell | Dentist | 23 W Mississippi St, Marianna, AR 72360-2568 | 2006-08-14 |
| 1518975499 | Alexander James Dudley | Dentist | 2937 Jefferson St, Marianna, FL 32446 | 2006-08-04 |
| 1447863147 | Brittany Mitchell | Dentist | 530 Atkins Blvd, Marianna, AR 72360-2198 | 2020-08-24 |
| 1346778412 | Laura Knowles | Dentist | 4126 Independent Dr, Marianna, FL 32448-4023 | 2017-06-01 |
| 1235465303 | Yee L Yang | Dentist | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1003416017 | Phillip Jeffery Kelemen | Dentist | 5913 Plainview Dr, Port Orange, FL 32127-8911 | 2020-10-28 |
| 1215536081 | Kenneth A Mogell Dmd Pa | Dentist | 787 37th St Ste 180, Vero Beach, FL 32960-7305 | 2020-10-22 |
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1477151520 | Beacon Dental LLC | Dentist | 800 Se 4th Ave Ste 720, Hallandale Beach, FL 33009-6496 | 2020-10-12 |
| 1972100451 | South Florida Sleep Solutions LLC | Dentist | 9100 Sw 53rd St, Cooper City, FL 33328-5021 | 2020-10-07 |
| 1346847134 | Kenward & Mayoral Dentistry Partnership | Dentist | 8950 Sw 74th Ct Ste 1212, Miami, FL 33156-3170 | 2020-10-05 |
| 1174139893 | Haitham Nabood | Dentist | 7504 Ne 6th Ct Apt 5, Miami, FL 33138-5184 | 2020-09-17 |
| 1689289613 | Sydney Taylor Brown | Dentist | 4455 Sam Mitchell Dr Unit Dental, Chipley, FL 32428-3501 | 2020-09-15 |
| 1679188957 | Kai Ta Huang | Dentist | 1950 Laurel Manor Dr Ste 160, The Villages, FL 32162-5610 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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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.