SUSAN LEAKE SHOULTS (NPI# 1427174135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427174135 |
| Entity Type | Individual |
| Full Name | SUSAN LEAKE SHOULTS |
| Credential | DDS |
| Practice Address |
2910 Melton Ave Pascagoula MS 39581-4120 |
| Practice Telephone | 2287629250 |
| Practice Fax Number | 2287621785 |
| Mailing Telephone | 2287629250 |
| Mailing Fax Number | 2287621785 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 292396 | MS | Dental Providers |
| Street Address |
2910 MELTON AVE |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811188444 | Austin Taylor D.d.s., P.a. | Durable Medical Equipment & Medical Supplies | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-08-08 |
| 1447463328 | Amy Sanders Spencer | Dentist | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-05-08 |
| 1427174143 | Larry J Wilson | Dentist | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-03-22 |
| 1265558951 | Millard Austin Taylor | Dentist | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| 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 |
|---|---|---|---|---|
| 1780852996 | Gregory A Smith | Dentist | 3019 Market St, Pascagoula, MS 39567-5152 | 2008-02-11 |
| 1720299415 | James H Halbrook | Dentist | 2202 Old Mobile Hwy, Pascagoula, MS 39567 | 2007-05-24 |
| 1396828505 | Phillips S Weaver | Dentist | 716 Watts Avenue, Pascagoula, MS 39567 | 2006-10-23 |
| 1487769055 | Clarence Renshaw Avery | Dentist | 5106 Telephone Rd, Pascagoula, MS 39567-1120 | 2006-08-21 |
| 1831689850 | John Ross Mccarty | Dentist | 4105 Hospital St, Pascagoula, MS 39581 | 2018-05-15 |
| 1831576644 | Gulf Islands Dentistry, Pllc | Dentist | 1226 Jackson Ave, Pascagoula, MS 39567-4348 | 2015-04-30 |
| 1053725614 | Jessica Bosarge Taylor | Dentist | 1226 Jackson Ave, Pascagoula, MS 39567-4348 | 2014-06-11 |
| 1356788251 | Rosemary Duc Tran | Dentist | 2905 14th St, Pascagoula, MS 39567-5208 | 2013-05-31 |
| 1427174143 | Larry J Wilson | Dentist | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-03-22 |
| 1265558951 | Millard Austin Taylor | Dentist | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-03-22 |
| Find all providers in PASCAGOULA | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on SUSAN LEAKE SHOULTS.
| 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.