MRS. JESSICA NICOLE HAGAN (NPI# 1427417070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427417070 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA NICOLE HAGAN |
| Other Name | MS. JESSICA NICOLE HOUGHTON |
| Credential | DMD |
| Practice Address |
1165 Cedar Point Blvd Ste P Cedar Point NC 28584-1030 |
| Mailing Address |
112 Nellie Ln Swansboro NC 28584-8658 |
| Practice Telephone | 2527642784 |
| Practice Fax Number | 2527642784 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10747 | NC | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 W Watkins Rd, Phoenix, AZ 850032830 | 6022618686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039366 | Jessica Hagan | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-02 |
| 1356878623 | Jessica Ann Hagan | Anesthesiology | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2017-05-17 |
| 1669867446 | Jessica Hagan | Counselor | 2563 S Val Vista Dr, Suite 108, Gilbert, AZ 85295-1804 | 2015-03-30 |
| 1730504580 | Jessica Hagan | Physical Therapist | 28 Conservatory Dr Ste A, Barberton, OH 44203-4275 | 2014-03-03 |
| 1417202912 | Jessica Renae Hagan | Counselor | 7010 S Yale Ave, Ste 215, Tulsa, OK 74136 | 2012-07-20 |
| 1194018473 | Jessica Hagan | Occupational Therapy Assistant | 278 Dry Valley Rd, Algood, TN 38501 | 2011-05-19 |
| 1548598659 | Jessica Hagan | Physical Therapy Assistant | 16405 Northcross Dr, Suite G-2, Huntersville, NC 28078-5091 | 2009-12-01 |
| Street Address |
1165 CEDAR POINT BLVD STE P |
| City | CEDAR POINT |
| State | NC |
| Zip Code | 28584-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588073027 | Rachel Tucker | Dentist | 1165 Cedar Point Blvd Ste P, Cedar Point, NC 28584-1030 | 2014-08-08 |
| 1497260707 | Dr Donna Michelle Gentry Dds Pllc | Clinic/Center | 1165 Cedar Point Blvd Ste P, Cedar Point, NC 28584-1030 | 2017-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609373562 | Haldis Andersen | Dentist | 202 Mclean Blvd, Cape Carteret, NC 28584 | 2018-04-08 |
| 1740736560 | Savannah Corey | Social Worker | 20 Creekside Woods Drive, Swansboro, NC 28584 | 2016-08-31 |
| 1780919498 | Hunter Creech Brown | Pharmacist | 319 W.b.mclean Dr., Cape Carteret, NC 28584 | 2009-10-14 |
| 1518139807 | Julie E. Marion | Counselor | 624-2 W Corbett Ave, Crystal Coast Counseling, Swansboro, NC 28584 | 2008-03-27 |
| 1174795462 | Crystal Coast Counseling, Pllc | Counselor | 624-2 West Corbett Ave, Swansboro, NC 28584 | 2008-03-27 |
| 1316023534 | Richard Coe Holmes | Dentist | 710 Cedar Point Blvd, Cedar Point, NC 28584 | 2006-10-31 |
| 1750485165 | Anderson and Slack and Associates | Dentist | 718a West Corbett Ave, Swansboro, NC 28584 | 2006-09-08 |
| 1245340645 | James B Slack | Dentist | 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| 1912017013 | Gina C Mancini | Dentist | 718 A West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| 1962512368 | Doris J Black | Dentist | 200 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| Find all providers in zip 28584 | ||||
| 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 |
|---|---|---|---|---|
| 1588073027 | Rachel Tucker | Dentist | 1165 Cedar Point Blvd Ste P, Cedar Point, NC 28584-1030 | 2014-08-08 |
| 1316023534 | Richard Coe Holmes | Dentist | 710 Cedar Point Blvd, Cedar Point, NC 28584 | 2006-10-31 |
| 1114365814 | Richard C Holmes Dds, Pa | Dentist | 710 Cedar Point Blvd, Cedar Point, NC 28584-8012 | 2013-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816616 | Erin Wilbanks | Dentist | 1000 Copperfield Blvd Ne Ste 160, Concord, NC 28025-2454 | 2020-09-18 |
| 1275148553 | Marcus A. Bond Dds Pllc | Dentist | 1300 South Blvd Ste A, Charlotte, NC 28203-0006 | 2020-09-13 |
| 1235744780 | Joseph Short | Dentist | 300 Waldo St, Cary, NC 27511-3538 | 2020-09-11 |
| 1730794439 | Lauren Marie Barton | Dentist | H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 | 2020-09-10 |
| 1386257822 | Nirjal Patel, Dmd, P.a. | Dentist | 1400 Industrial Dr, Kinston, NC 28504-4500 | 2020-08-25 |
| 1962014696 | Neko Lynn Webb | Dentist | 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 | 2020-08-24 |
| 1700498631 | Jaclyn Jennifer Willis | Dentist | Ardennes Street, Fort Bragg, NC 28307 | 2020-08-21 |
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1487265039 | John Michael Mckelvey Jr. | Dentist | 6238 Ardennes St, Fort Bragg, NC 28310-0001 | 2020-08-16 |
| 1750990842 | Christopher Joseph Tikvart | Dentist | 202 N West St Apt 207, Raleigh, NC 27603-6173 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR POINT |
| Zip Code | 28584 |
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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.